HomeMy WebLinkAbout1732 S Taft Hill Rd - Permits - 06/05/1985City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applipant complete this part of form only.
Press firmly using ball point pep,
Job Address jj
Name r,.
`m
c
Mail Address
3
Phone
Name
0
mAddress
- -- --. -
c
O
O
License No.
ne
Pho
n
Lot f,-
Block
Filing Number
`o
Subdivision p
m
o
ro
PUD
DESCRIPTION OF WORK
�. t.
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, mayerial, 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 Additi n Demolish Move
❑ ❑ ❑ ❑
_
Plb�. Mec E ec Struct. Fire Prot
❑.: 4' ❑
Occ. Gr.
Type Const.
_
Use Zone K' L
Use of Building I
FloorArea
IHeight
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
No.
No. D.U.�E
rea
E
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning S
Engineering
Fire Department
Electric Department
Water & Sewer i
Plan Review
Special Conditions:
Valuation FEES
Plan Check I
Permit
Parkland
j
City Sales Tax
St. Oversizing _
Water Plant Investment
Sewer Plant Investment
Storm Drainage_
Electric Underground-
-- — — — —
Total Fees
_
-- — ---- --
Distribution_ Original - Appilca,IT'@,ue - office; Canary - Sales Tax. Fmk - APpltCaH: Tag —all Insp
Off -Street Parking
(No. Cars)
Interior Lot
f3
Corner Lot
❑
Reversed Corner Lot
❑
a
m
'm
d)
^�
a°)i
U)
}
m
c
0
LL
Street
C
O
D
ZBA Case #
Date
BBA Case If
Date
Building Insp. Approval
by
date
r
6 6,
Permit No,
Date