HomeMy WebLinkAbout1133 BUTTONWOOD DR - PERMITS - 8/18/1986City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
t Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address:.`
Name _r
74
m
c
Mail Address iF
3
O
Phone 4/;
Name
Address
p
License No.
Phone;
7 .,
2
n
Lot Block
Filing Number
Subdivision -
N
PUD
Parcel #
DESCRIPTION OF WORK
1! �
r
-a
Stock Options
Plan No Codes
Est. Total Cost
(including labor, material, profit)
' I hereby3acknowledge 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 Alte_ra
❑ 19
on Addition Demolish Move
, ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building�'�
Floor Area
Height �
No. Stories
Lot Area _f fj
Fiontag
Occ. loadCcc.l
Change fro',/
Plat File -No' �(.. � .f�,
^` !
N_oD.U:: . f=^'
Garage area., ...%/
F&6smt 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
t
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total,Fees� c a,.:
Off -Street Parking
_
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
0
i
m
l I
( )
N
`m
in
0
0
"J
Street
y..
PTATS
TOTL 3:.30
,4912S72r1f,,2
A
`o AIM. itfs ,' J`J
.1�d
a
m
ZBA Case #
Date
BBACase# A ,
Date.
Building Insp. ' l..i-•--Approval
t,
by �f�� Bate
'-,—,Ferrnit No. ,
i) Date
Distribution: Original - Appllcant?BWe 'Of ice: Canary - Sales Tax: P'ink- Applmant Tag=:Bldg- Insp.,�