HomeMy WebLinkAbout201 E Mountain Ave - Permits - 02/19/1985City 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 0I E W W lYN
Name w yU
c
Mail Address S
3
O
Phone
Name
0
C
of17
License No. _
Phone
4
Lot
Block
Filing Number
.N
Subdivision
0
m
PUD
m
J
DESCRIPTION OF WORK
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 —
Ne Alteration Addition Demolish
❑ ❑ ❑
Move
❑
Plbg. Mech. Elec. Struct.
Fire Prot.
Occ. Gr.
Type Const. --
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
F tage
Occ. load
Occ. Change tram
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 r
Special Conditions:
-
I '
u
Valuation FEES
Plan Check
_
Permit
Parkland
City Sales Tax
St. Overs iz i n g
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees,,- . T
Distribution Original - Applicant. Blue - Office: Canary - Sales Tan. Pink - Applicant . Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
a
m
m
_v
S
a
S
C
0
LL
_J
Street
0
0
a
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
15
z t, cc-_�4,S >
Permit No.
Sate