HomeMy WebLinkAbout1400 Shamrock St - Permits - 09/07/1986City 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 1 sJ1 C1 An P
Name L
3
Mail Address
Phone Z
Name 1hrr e f An pa
m
..
0�-f'
.Address- 24 _24-
eOIlem
License No. >�'^ s3 ! Phone _
n
Lot
Block
Filing Number
u
m
Subdivision
PUD
d
Parcel #
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
�istate laws regulating buildings construction.
signed date
— CLASS OF WORK
New Alte �ano%n Addition Demolish Move
❑ ❑- ❑ ❑
— _
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zope
Use of Building ► �'�
Floor Area
Height
No. Stories
Lot Area n g
Occ. load
c ange m
Plat Fil
No. D.U.
Garage ' -a a 4
in. mt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
G�i
-Parkland
City City Sales Tax
St. Oversizing
Water Plant Investment
-
Sewer Plant Investment
Storm Drainage Y
Electric Underground
Total Fees
Dsl,mul'.un O,igmal - Appbcant. Bwe - OfficeGanaiy - Sales rax. Pink - Applicant. Tay - Bldg Irisp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner l-ot
❑
a
m
m
_IV
c
0
ll
"J
Street
C
O
ZBA
Case #
Date
BEA
Case #
Date
Building Insp pproval
by
date
14
1
Permit No.
Date