HomeMy WebLinkAbout3555 STANFORD RD - PERMITS - 1/22/1987city
of Fil Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
— CLASS OF WORK —
Applicant complete this part of form only. _ _, -
Press firmly using ball point pen New Alto(a n di ion ❑ Demolish Move
011G ;l
Job Address 3s"•"y'�^' , I �L Fire Prot.
Name � FS y�1oIL 44f"a �'�
f --
� Mail Address
Phone
Name S�ti`.!e T-
o` - — 04
Address
U III -
c _
License No. Phone
Lot (Block Filing Number
F -
a [ Subdivision
PUD
m
Parcel #
DESCRIPTION OFF WORK
Plbg Mech. E Struct.
❑ ❑ _ --
Occ. Gr. •'L (Type Const. 1j j Use Zone
Use of Building
Floor Area Height
No. Stories Lot Area i Frontage
Occ. load �Occ. Change from -
Plat File No. No. D.0 _ _ --
Garage area Fin_Bsmt. area
Type heat No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
r
Electric Department
Water & Sewer
Plan Review r` �L it Z
Special Conditions:
_ -- - Valuation -
Plan Check - -
Permit
Options ----
Stock __ _ Parkland
Plan No _- _. _ _moo Codes_- -__
/� ._ City Sales Tax 4L----
-
Est. Total Cost - -- -- - - -- - -
- - St Oversizing
- -
I h,e o cknowleege tt)
g nal prof
Includin, labor, ma t
Water Plant Investment--
_ _
I ave read this apUlication and � Sewer Plant Investment
g g niply with all city ag-
--
or to c n -tate low- e udlatiinfeEbuilding construction. Storm Drainage
state th the hove Elect is Underground
date Total Fees
signed __ ----
DEst t ion Ony I Air ,,rt Ju.: -Oilrz (' SJICS t an 1°i1l....... BrantTag-Bldg Insp
Street
PRNTS 25.65
TAXPM 15.13
TOTL 40 78
CACK
N96387 14:46 A
JAN.22787
O
a
ZB A Case # - Date
BBA Case 4 Date
Building Insp. Approval
- date
Permit No.
Date
.78