HomeMy WebLinkAbout145 W Swallow Rd - Permits - 07/02/1987City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant cornplete this part of form only..,
Press firmly using ball point pen.
Job Address
Name _ -• -
w
Mail Address i Y 1
Phone _
Names r
0
Address'
0
License No.
Phone
'
4
fi
Lot
Block
Filing Number
N
-
Subdivision
°
m
PUD
Parcel #
DESCRIPTION OF WORK
Stock Options
PIanNo._ _ Codes._
Est. Total Cost
labor,
(including materia, prof fit)
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 layvs regulating building construction.
signed date
— CLASS OF WORK —
NAlteration AR Demolish Move
9 ❑ ❑ ❑
Plbg. Mech. glec. Stru Fire Prot.
Occ. Gr.
Type Const. t
Use Zone -
Use of Building a
Floor Area �, j:72X
Height =
No. Stories
of Area fF
Frontage
Dec. load
Occ. Change from
Plat File No. -.
No. D.U.
Garage area ; )!
Fin. Bsmt. area
Type heat _ r .,
No. Fireplaces or stoves =-
- RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review.
Special Conditions:
L
p -1
Valuation --"' FEES
Plan Check
-
Permit
C
Parkland
fir•^•
City Sales Tax%✓h—
' - *�
St. Oversizing
Water Plant Investment AJj-
Sewer Plant Investment
--�
Storm Drainage
Electric Underground
Total Fees
Distribution. Original - Applicen\ Pflue - Office', Canary - Sales Tax. Pink - Applicant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ei
Corner Lot ❑
Reversed Corner Lot ❑
m
d
y HIV
n
m
y
c
o
.-. J ll
Street
c
N
ZBA Case # Date
BBA Case # Date
Building Insp., �.� Approval
by date
Permit No.
Date