HomeMy WebLinkAbout2735 Silver Creek Dr - Permits/Footing and Foundation - 08/28/1987City 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 SlL CA4
0
c
/ 7
Name Q1 NA
Mail Address
3
O
Phone
Name
o
U
Address
U
License No. Phone 3z-
Contractor Sales Tax No. eKeLZ
a
Lot
Block Filing Number
y
Subdivision
0
M
PUD ��� / e4M1_4/A15
Parcel # n +. s
DESCRIPTION OF WORK
is rv,y �T r"kiL
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, materi I, 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.
U
signed dat
— CLASS OF WORK —
Nevp/" Alteratiorj Addition Demolish Move
[� ❑ ❑ ❑ ❑
Plbg. Mach. Ell Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr. ,3
Type Const.
Use Zone
Use of Building C, PIZ
FloorArea
Height
No. Stories
Lot Area a
Frontage
Occ. load
Occ. Change from
Plat File No. ((; _
No. D.U. /
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASESDates
G—
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation (, bran FEES
Plan Check
Permit 2 'Z.
Parkland
City Sales Tax
}
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution- Original - Applicant. Blue - 011ice, Canary - Sales Tax. Pink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot
❑
Reversed Corner Lot ❑
Y
`m
d
m
r
v�.
t►)
taf
23` o
yJLL
Street
y(
"RNTS2 3.J2)
TAXPM i3„75
TOTL 37,37
3
W3007 10=00 A
-8
AuG,�i,°s7
c
0
.0
a
ZBA Case #
Date
BBA Case If
Date
Building Insp. Approval
by date
Z74 73
18
Permit No.
Date
' 3?