HomeMy WebLinkAbout1016 Peterson St - Permits/Reroof - 09/18/1987City 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
Name � �All
cMail
Address
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C� ✓ L L♦/J S
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Phone
Name f�-cA,
Address / 3__-
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License No:I.Phone�
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Lot iBlock
Filing Number
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Subdivision
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P U D
DESCRIPTION OF WORK
do d i7 s-•
Stock Options
Plan No. Codes
As—O C7
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.
4l _ - —
Slgne� date
CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ 3 ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr.
Type Const. jUse
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 `I
Plan Review
Special Conditi s:
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 - AlP Blue - Office'. Canary - Sales Tax. Pink - Applicant. Tag - Bldg Insp
�430 "",
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
1v3j
P
9f 1a�87
ermit No.
Date