HomeMy WebLinkAbout211 N Sherwood St - Permits - 02/22/1985City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form unly.
Press firmly using ball point pen.
Job Address N. �2�
(D
Name
Mail Address I'
Phone Z
Name
o
m
Address
c
0
U
License No. Phone
Lot Block
Filing Number
0
N
Subdivision
°
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
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Much. E ec. Struct. Fire Prot.
❑ ❑ ❑
Occ. Gr. Type Cons'). Use Zone
Use of Building
Floor Area Height
No. Stories
Lot Area
Frontage
Dec. 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
Special Conditions:
Valuation FEES
Plan Check
Permit
_
Parkland_
City Sales Tax
St. Oversizing
Water Plant Invest ent
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
—
Distribution Ongmal - Applicant. Blue - Office Canary - Sales Tax Pink Apphcant. Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m`
r
m`
fU
cc
65
m
Y
n
c
0
L
Street
c
0
ZBA Case #
Date
BBA
Case #
Date
Building Insp. Approval
by
date
/sg3d
a as
Permit No.
Date