HomeMy WebLinkAbout3212 Norwood Ct - Permits - 12/11/1985City 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 Z Z (),I?7 mop
Name J Oh 1 (h L_o {�
`m
c
Mail Address
3
O
f
Phone ZZ l'J
0
Name Jhk-\,
Address
c
0
U
License No.
Phone
°
.a
Lot
Block
Filing Number
Subdivision
O
M
PUD
rn
Parcel #
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 Alterati Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building Z
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:
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 - Apphca o.. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
v
m
m
d
m
E
n
m W
c
0
ti
Street
c
0
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date