HomeMy WebLinkAbout3555 STANFORD RD - PERMITS - 9/8/1988City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERbUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address tire„ r L-
Name oS` v 6 r! '✓'d. J N
Mail Address
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Name:
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Address , t <;
c
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License No.
-
Phone
Contractor Sales Tax No. )
a
Lot Block
Filing Number
d
Subdivision y `�
0
PUD r
°2�
Parcel # _ ,
DESCRIPTION OF WORK
z_ �+
Stock Options
Plan No.
/Codes
Est. Total Cost G1�eep
(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.
signe date
— CLASS OF WORK —
New Alt a 'bn Addition Demolish Move
❑ V, ❑ ❑ ❑
Plbg. ech. E Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const. L
Use Zone ii,
Use of Building
Floor Area
Height
No. Stories
Lot Area T
ontage
Occ. load N!t)occ.
n
r
Plat File No.
o. D. ,�1 f
Garage area
F' t. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning-�-
Engineering
Fire Department
Electric Department i
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
j
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
DisVlbution Original - Applicant: Blue - Office. Canary - Sales Tax,. Pink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
„
m`
m`
d
( 1
( 1
d
V)
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0
V IL
Street
0
ZBA Case #
Date
BBA
Case #
Date
Building Insp. Approval
by
date
CC)
9/8/8's
Permit No.
Date