HomeMy WebLinkAbout1918 Rollingwood Dr - Permits - 12/01/1987City of Fart 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 1 % 18 {2�l Li_ 1 t'3 CZ jj D
Nam y r tt n
Mail Address% / .
Phone _ u� 7 - 9
Name — 39
g
U
Address
t0
C
0
yJ
License No. Phone
Contractor Sales Tax No.
Lot
Block
Filing Number
Subdivision ���
io
PUD
Parcel # <F719,2
DESCRIPTION OF WORK
46^ 6 /2 S
Stock Options
Plan No. Codes
. Total Cost
imploding labor, a enal, 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
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. Use Zone 2L
Use of Building _
FloorArea
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change front
Plat File No.
No. D.U.
Garage area
Fin. Bamt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan RevieY44' b�}��J��
Special Conditidns:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: Original - Applicant, Blue - Office, Canary - Sales Tax Pink Applicant, Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
Sb'
A
_t
¢
t
7F1x1,7,lk ')7
ry 1
--ii: �
r,�wl�=>�:,
��
Street
c
0
ZBA Case If
Date
BBA
Case #
Date
Building Insp. / I c Approval
by
9� • date
281q I
/ z %%i87
Permit No.
Date
t --