HomeMy WebLinkAbout1207 Oak Island Ct - Permits - 11/29/1988City of
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 p L -
-
-f`Saml 4 7P t ,
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Mail Address g' S
Phone 22_/ D O
Name 'Z
o
U
Address
m
c
U
License No.
Phone Z ;3 4- 70 U
Contractor Sales Tax No. Z� 7
c
C
Lot
Block
Filing Number
N
Subdivision
PUD
m
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost
lincluding 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 —
Npvvj Alteration Addition Demolish Move
Q ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
a ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building I
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U. ,
Garage area
smt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
9
Valuation FEES
Plan Check
ir`
Permit
Parkland
City Sales Tax T'!
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Distributiod'Onglnal - Appbcant.. Blue,- Office. Canary - Sales Tax'. Pink - Applicant. Tag -Bldg nsp.
Off -Street Parking
(No. Cars)
Interior Lot
❑.
Corner Lot
❑
Reversed Corner Lot ❑
a
i m
m
a�
`m
in
>
C
O
LL
in
Street
0
0
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
Permit No.
Date