HomeMy WebLinkAbout1707 Valley Forge Ave - Permits - 12/20/1983City of Fort CiollinS 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;7() ✓A� LLC Y �p�B-�i�
Name
Mail Address -.
3
O
_
- -
0
Phone
Name
Address
c
0
U
License No.
Phone
c
°
n
Lot
Block
Filing Number
b.
v
Subdivision
0
PUD
y
DESCRIPTION OF WORK
JJ
t
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 state laws regulating building construction.
signed ---- -- --date --'
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ M ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ 6 ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Height
Lot Area
Frontage
EGarage
Occ. Change from
o.
No. D.U.
a
Fin. Bsmt. 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
Parkland
City Sales Tax
_,-
St. Oversizing
Water Plant Investment
_
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
--
.,"v'u".-nppucem_ewa-Un'a;canary-SalesTnx..Pink -Appim�m. Teg-Bid,Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
V
1 )
1 )
c
LL
`J
Street
0
0
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
0I83
Permit No..
Date