HomeMy WebLinkAbout4130 SADDLE NOTCH DR - PERMITS - 8/19/1983City of Fort Coll;inS 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 413ii 16aciiile Notch t}zi. Vra
Name It iaal'a K!_r'4..-5Inc.
`m
c
Mail Address 31)i,5
3
O
. ..o1 a. I s , MY,. .5 5
Phone 22C-5_i31
Name iwrt Snt-witer
0
m
Address
c
0
O.
License No.
Phon126-5531
Lot 2£
Block 5
Filing Number I
a
Subdivision WJ 11ow Park
°
m
PUD
d
J
DESCRIPTION OF WORK
Stock i,... _� Options„,, LY .
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.
sinned �date
Distribution: Original - Applicant, Blue- Office, Cahary - Sales Tax. Pink - Applicant. Tag
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
a ❑ -' ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area IFrontage
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:
r
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
�` G
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
13�.
Corner Lot
❑
Reversed Corner Lot
❑
m
m`
d
Icr
+,
r
i
�5
Lm`
v
0
IL
Street x`
c
0
v
ZBA Case #
Date
BBA
Case #
Date
Building Insp. Approval
by
date
VaPt
Permit No.