HomeMy WebLinkAbout2850 Mcclelland Dr - Permits/Tenant Finish - 09/12/1985 (3)City of Fort Collins BUILDING INSPECTION DIVISION
APPLICX'ttM FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address L
Name
Mail Address (Q 5 GJb
o
d It
Phone
`o
Name
m
Address
c
o
x
License No. �.
Phone
n
Lot
Block
Filing Number
N
Subdivision)
°
{
PUDca
rn
d
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 AI r ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Cons +thy-
Use Zone H
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. 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:
1kr
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
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
m
a�
�IV
<—�—�
a�
^n
a>
U)
} fn
C
0
_V
Ii
Street
0
ro
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date
` - .. �..Ae. I.W.�t �.vYi �i✓"r un..Y� .M'P MSS ii,ni4�.n a.�'t u �"e.�e✓r.w w...r. v.. � ..- ..� ..u'Tr ..
City - of-" Fort Collins BUILDING INSPECTION DIVISION
APPLICXTI0N FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 2` �
'L.0
• I
Name &I. • i - ;i
^C.r
8
c
Mail Address 1
3
Phone Y,; r" ilt... �)
Name ; {�✓�
vN
o
U
Address .` S `�• <. S'u �.•7 t:ltui "n.� <
U
1
License No. -- /C)
Phone ?lix
c
2
n
Lot Block
Filing Number
d
Subdivision
0
PUD
DESCRIPTION OF WORK
jr
Stock .r Options
Plan No Codes
- ' ,ii','7 . ... tzT
Est. Total Cost ",k
(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 I�regulating building construction.
signed "�� ice, '.date
— CLASS OF WORK —
New AI ion ..Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
- Type Consl. ) Use Zone 1.4
ding
Eof
Height
Lot Area
Frontage
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— — Dates
GRELEASES
Zoning Ole d?J 7 - I(
Engineering
Fire Department A wp
Electric Department
Water & Sewer
f',
Plan Review�r r}�, ,(,r, fl1_f ) !K
Special Conditions:
Rf
n�,�P
.ire f �inc.t �rtr-1 rP 11tre
f
Valuation FEES
Plan CheckZ-
Permit
, 3
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total 'Fees� t
+
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
m
m
m
_`v
t ) I I
N
m
m
c
0
\ I 1Ti1 • .r VV
PRKT5 84.37
Street
IYtAI rl 'Ci._J
. ... -CPCII
t��058 14'--PT,^4t1 o r,.^
SEP.13185 7R%i irr..
c
0
0
ZBA
Case # Date
BBA
Case # Date
Building Insp. Approval
by
ate
1��
Permit No,, i' ,,
1 Date �•
Distribution: Original - Applicant Blue- Oflioei Canary - Sales Tax, Pink - Applicant; Tag - Bldg. Insp.