HomeMy WebLinkAbout1225 W Prospect Rd - Permits/Multi Family New - 04/18/1984 (2)City 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
Name 4.
`m
c
Mail Address
O
Phone ?.. _
o
Name
Address 'T' = ,
0
U
License No.
Phone
°
.a
Lot
Block
Filing�Number
Subdivision
o
PUD T
m
N
J
DESCRIPTION OF WORK
Stock Options
Plan NiCodes
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
Cl. ❑ ❑ ❑ ❑
Plbg. Mach. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories _
Lot Area :, I
Frontage
Occ. load
Occ. Change from
Plat File No. , s
No. D.U.
Garage area F
Fin. Esprit. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special ditioA¢'
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
L`istnnution. Original - Applicant Blue - Office, Canary - Sales Tax. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
m
O
<-7,-7
W
m in
c
0
LL
Street_
C
O
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
m o.
Date
c