HomeMy WebLinkAbout209 Princeton Rd - Permits - 06/25/1987City 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 Q
Name 04:�IA—z 54111
m
Mail Address
3
O
Phone L
Name
o
o
Address
c
0
U
License No.
I Phone
a
Lot 1Block
Filing Number
N
d
Subdivision
m
PUD
T
Parcel #
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.tnulding-construction.
signed date
— CLASS OF WORK —
New Alterati
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr,
Type Const.
,Use Zone
Use of Building
Floor Area
r
Height
No. Stories
Lot Aiea
Frontage+;
Occ. load,
Occ
bhan e 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
Special Conditions:
Valuation
FEES
Plan Check
_
Permit
Parkland
City Sales Tax
E
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 ❑
m
cr
cr
1 f 1 )
c
LL
Street
c
0
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
Permit No.
Date