HomeMy WebLinkAbout719 S Lemay Ave - Permits/Addition or Alteration - 11/04/1985fit., - �<.""�Y - 'r-�i.�r f%" c^•.=�-..:}-L --S-•aS:-.�.a<�y�,-t.,;rqa...�-e r•^�=. v,:rsr•T :k"`0'�,rf�/'"-rvr :�3=.`"��7c r ar.:-...� xs�'"^ �!r. 9!�. »-,� , .�. c.-a,- Y. �.�.... ..z... .. .T , ,Yt. l.��t?.i_ �fi.P 1'a. ".i _+'yKt_i-"o�"�^(.�,..�s�„i��-�`v�•C;.�w,.
City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address UmaAj
Name
a
c
Mail Address
3
O
Phone
0
Name
m
Address
c
O
w
O
License No.
Phone
zo
Q
N
Cot Block Filing Number
Subdivision
PUD
J
DESCRIPTION OF WORK
V.
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. —TIUse
Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering 41< i
Fire Department � '`. lit
1; 6
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
; . �.-
Permit
f G
Parkland
City Sales Tax
Lo
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
,
Total Fees'
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
m
r
Wa�
m
�V
2
-
-2
Ca
U)
t
0
li
Street
i,
4k
AMT.
REC IVtb`'
N OV 5 1985
Poudre Fire Auth ty
BY
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by
date
112
Permit No.
Date
Distribution: Original - Applicant; Blue - Office: Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.