HomeMy WebLinkAbout1207 Pomona St - Permits - 09/02/1986City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly usin 1 point en.
Job Address a2
Name
a`)
c
Mail Address
3
O
Phone z
Name
0
Address
O
U
License No. z Phone
ZO
Lot
Block
Filing Number
nSubdivision
PUD
Parcel #
DESCRIPTION OF WORK
r
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 —
Ng Alteration Addition Demolish
❑ ❑ ❑
Move
Plbg. Mech. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. G
Type Const
Use Zone
t
Use of Building
Floor Area Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No:
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Spertial Conditions:
-•
�p r.
1Z
ej
1
r
Valuation FEES
Plan Check..
r "-
Permit,.
Parkland
-
City Sales Tax
/
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Feet,
Distribution. Original - Applicant', Blue - Office', canary - Sales Tax, Pink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
r
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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vIV
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m
to
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Street
P
a
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
.T
Permit No.
ate