HomeMy WebLinkAbout2216 Purdue Rd - Permits - 08/28/1986City 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
`m
Mail Address," -- - -
3
O--
_--- _.--/-------
Phone O
Name
Addresser 9,
License No. S- (}� Phone
° Lot Block iFiling Number
N'I Subdivision
°PUD
Parcel # _ -6)13
OF WORK
ZDESCRIPTION
Stock Options
Plan No. --_-_-_ Codes_-._7-- -.- - -
Es' Total Cost
)inrn aing labor, material profit)
t reby aCknowfedgr+h:+ I have read this apphr_ation and
Statr li,pt thn and agtee to romnly With all city !
ordiinancos art(] state laws regulating building construction_
signed date
CL S OF WORK —
_
New Alt rate AdofitIon Demolish Move
❑ ❑ ❑
-
Plbg. Mech. Elec Struct. Fire Prot.
CI ❑ ❑ _ El
Occ Gr. Type onst., `use Zone
Use of Building �/ f /
Floor Area j ight-
No. Stories
Occ. load l-.
Lot Area Fr '
g fr m _
G �
Plat Fil
G ge rea
Bsmt.area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning -_ -- —
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special ConditionsAgiii
Valuation
Plan Check
Permit
Parkland
— 1
City Sales Tar.
St. Oversizi rig
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
FEES
l
U6rlill .i.1, 01,'J111,11 - aliph=.., t Blue ,f' Canary - I .G I , PI -a Appnoant I ay - P➢lig Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
m
m
a�
v ^^ m
Y
c
0
Street
C
O
a
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
date
Permit No.
Date