HomeMy WebLinkAbout1436 Tarryton Dr - Permits - 07/07/1983City 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 lny 3/L pi jZr
Name
c
MailAddress/��� r On LtiJ .
o
F t f0�2 5
Phone p
C
Name
0
m
Address
c
0
_
U
License No. Phone
2
Lot
Block
Filing N r
b
Subdivision
N
O
_-
PUD
J
DESCRIPTIO(N� OF WORK
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
Oyrdii}naa�nces. and /jstate lawsregulating building construction
i
signed �te
I
r
— CLASS OF WORK
New Alteration Addition Demolish
❑ ❑ ❑ ❑
Move
❑
PI❑ ❑ bg. Mec Mech. Elee/ Struct.
QY ❑
Fire Prot.
❑
Occ. Gr. Type Const. Use Zore
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. Esprit. 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
L) U
Parkland
City Sales Tax
St. Oversizing
_
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Disiribuhon Original - Applicant, Blue - Office. Canary - Sales Tax'. Pink - Applicant, Tag - Bldg. lase.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
m
a.
v
U)
m
r
n
C
0
ILL
Street
i 3-4
7P7 3
103-4)
7"'7111 ;A,
103 ;
7P17234 WC05
c
0
M
g
ZBA Case #
Date
BBA Case #
Date
Building Ins
Approval
by
date
3�7
Permit No.
Date
i }1f L' CN
,ry
0C T1_