HomeMy WebLinkAbout1442 Sioux Blvd - Permits - 03/07/1986City 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
Name I. E. Burn Constructic,n Co.
w
Mail Address 1106 Yew place
OLoveland,
Colo. 80537
Phone 669--8
Name D. F. Burns Construction Co.
0
Address 1106 Yew Place
o
Loveland, Colo. "37
U
License No. D _ 29
Phone 669-8386
Lot
Block /
Filing Number
N
N
Subdivision -;M
ri e—
0
PUD
V,
�
pf
DESCRIPTION OF WORK
Single Family Rea.
Stock Options
Plan No. Codes r
Est. Total Cost
(including labor, material, prof'
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 d @
— CLASS OF WORK —
NQ Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plb Me EI Sty .. Fire Prot.
0 ❑
Occ. Gr. jit —.%
Type Const.
Use Zone '
Use of Building
Floor Area
Height
No. Stories 11
of Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D U.
Garage area
a -
Type heat i5yNo.
Firepla or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation ' FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
<,.+- ,, e
Sewer Plant Investment
±-
Storm Drainage
J,C' 0
Electric Underground
To
stribution: Original - Applicant, Lh unary - sal-9-11 Pl3licant; ia9- Bldg. s
F
Off -Street Parking
(No. Cars)
Inferior Lot
❑
Corner Lot
'(
Reversed Corner Lot
❑
je—yl_�
(D
rn
Street_
c
0
ZBACase#
Date
BBACase#
Date::
Building
Insp. pproval
by
date
erm't No-
! Date
a