Loading...
HomeMy WebLinkAbout841 Balsam Ln - Permits/Furnace - 05/15/1986of 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 me '•} w Mail Address ?..� �; •ti •• `,_ 3 Phone fame- 0 1 ddress c ' License No. - .`" Phone 0 _ of Block Filing Number n m ubdivision PUD d parcel»9 % — ©:5 - O DESCRIPTION OF WORK i Options Codesl rTotal %r, material, profit) I hereby acknowledge that I have read this application and s ate that the above is correct and agree to comply with all city rdinances and state laws regulating building construction. N signed 1 - L date�. — CLASS OF WORK — New Alteration Addition Demolish Move ❑ 1T ❑ ❑ ❑ Plbg. Mach. Elec. Struct. Fire Prot. ❑ ❑. ❑ ❑ ❑ Occ. Gr. Type Const. Use Zone s Use of Building " Floor Area No. Stories -` Lot Area Frontage Occ, load Occ. Change from Plat File No. �'�.� No.JD.1H Garage area /" �i n..0sm . 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 Z. Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground �4otal Eees.°j Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m `m _ID V t ) ( ) in Y in c 0 "J Street c 0 m, ZBA Case # Date BBACase# j Date Insp. ''j building _� .AA,apperoval Y 1 P�`mit. -Date Oitribufion Original - Applicant Blu`�Office Cary - Sales Tax; Pink - Applicant; Tag - brdg-lnsp. •,�-