HomeMy WebLinkAbout2904 Oxford Ct - Permits - 10/28/1988City 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_ p§r :X y ' C
Mail Address O j-7 .
-u.
I
O
-.F^ -1 IP;� �tD—� C9 S7L.
��]
Phone —�
Name v -
2;
Address
C
O
License No. Phone
Contractor Sales Tax No.
°
a
Lot
-
Block
Filing Number
--
Subdivision
PU
Parcel#),7VQ Q --�
_ DESCRIPTION OF WORK
Stock Options
Plan No. _Codes__
Est. Total Cost _- ? 4_012
(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 Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
o ❑ ❑ ❑ ❑
—_.
Occ. Gr. 'Type Const. 4/-"x
Use Zone
Use of Building
Floor Area eight
No. Stories of Area Frontage
Occ. load Oc' auge 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:
Valuation FEES
Plan Check
Permit
((mil, 0C",$
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
--�J
Distnbution. Original - Applicant. nlue - Office Canary - Sales Tax Pink - Auplmant. Tag - Bldg Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
m
cl
IV
m
w
r
0
LL
_J
Street
c
o
m
R
ZBA Case #
Date
BBA
Case #
Date
Building Insp. Approval
by
date
Permit No.
Date