HomeMy WebLinkAbout2943 Southmoor Dr - Permits - 10/14/1986City 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 /1
Name
c
Mail Address V
Phone
Name '"
!1
0
m
Address:
c
o
F 4
License No. i 7' ;1
Phone-
2°-
a
Lot
Block
Filing Number
y
Subdivision
m
PUD
rn
°;
Parcel #
DESCRIPTION OF WORK
a
y
' E
t d;
r
Stock Options
Plan No. Codes
Est. Total Cost i
(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 lawyiegulating building construction.
—. -tom
signed X date
— CLASS OF WORK —
New Alteration .-Addition Demolish Move
❑ CrI ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot 4rea
Frontage
Occ. load
Occ: Chang fro(h
. t - t Fi e
PI
Garage ar_ a'
Fin. Asmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
r
Valuation �'; `---- FEES
Plan Check
Permit
TZi..
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
al ees\ c_
Distribution: Original - Applicant: Blue - 04tice: Canary - Sales Tax, Pink - Applicant, Tag - Bldg. 146p.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
Ed
d
_IV
d
(D
�^
d
a
d
to
Y
io
c
0
ti
"J
Street
0
0
a
ZBA Case #
Date
BBA Case If
Date
Building Insp. / f-Approval
by
date
Permit No.
Date
J