HomeMy WebLinkAbout2407 Valley Forge Ave - Permits - 09/09/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE bF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name L ,a E U' 0-11f fti
Mail Address
3
O
Phone
`o
Name
m
Address
0
U
License No.
Phone
c
2
Lot
Block
Filing Number
a
v
Subdivision
rn
PUD
Parcel #
DESCRIPTION OF WORK
f
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.
sPgned date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. i Type Const. ii�.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
OCC. Change from
Plat File No. _
No. D.U. ,
Garage area
Bsmt. area,,
Type heat
No..F replaces of st0vefi
— RELEASES — Dates
Zoning }
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
»i L
Valuation •'"'�"'GJ� ` '� ' ' "� FEES
Plan Check
Permit
•
Parkland
-
City Sales Tax
6
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original Appbcant.Blue- OfLce.Cti -Seles Tax.Pink -Applicant Tao -Bldo. Inso.
Off -Street Parking -
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
m
m
Via
V
`m
in
Y m
0
0
Street
0
D
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Z7 S 70
91 /9/8
Permit No.
Date