HomeMy WebLinkAbout2912 Tulane Dr - Permits - 08/05/1988City 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
m
Mail Address
3
O
Phone
Name
o
U
Address
m
c
_
U
License No, Phone
Contractor Sales Tax No.
c
°
n
Lot -1--
Block
Filing Number
H
Subdivision
m
m
PUD
m
�
_
Parcel #
DESCRIPTION OF WORK
i
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 )..i.I date.
— CLASS OF WORK
New Alter N.on Addition Demolish
� ❑ ❑
Move
❑
PI b , Mach. Elec. Struct.
Lit ❑ ❑ ❑
Fire Prot.
❑
Dec. Dr. Type Const.
Use Zone
Use of Building
ries
Lot Area -.ad
!FloorArea
,
�e
EFrontage
- cc. Phange' fro1
ho.
NI
area
Fin.
Type heat
No. Fireplaces or stoves
— RELEASES —
pates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
_
Sewer Plant Investment
__
_
Storm Drainage
Electric Underground
_
Total Fees
Off -Street Parking
(NoCars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
m
m
_V
( )
I 1
m
1D
v
in
i
in
c
LL
"J
Street
—
0
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by sate
q803
6
5 9b
Permit No.
Date
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