HomeMy WebLinkAbout3319 Oregon Trl - Permits - 08/24/1988City 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 . .
c
Mail Address
3
O
Phone C) O
Name
0
U
Address `
m
0i
U
License No. _
Phone
Contractor Sa es Tax No.
2
a
Lot
Block
Filing Number
u
Subdivision
d
0
M
PUD
m
Parcel It Z n�q—
DESCRIPTION OF WORK
C
c7
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 —_
N Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Pill Vill Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. Use Zone ' rir jr
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Dec. 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
l-City .Sales Tax-
St.Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Onqinal - Applicant Blue - Office. Canary - Sales Tax. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
0
Corner Lot
❑
Reversed Corner Lot
❑
a
m
m
w
i
55
O
ti
Street
-
c
0
)
ZBA race #.
Date
BBACase#
Date
Building
Insp. Approval
by
d ate
Permit No.
Date