HomeMy WebLinkAbout4132 STONEY CREEK DR - PERMITS - 10/13/1987City 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 3 ill
Name
a)
Mail Address
0
Phone
Name Pi 4,
C4pN��
D
Address
0
01
License No. Phone
Contractor Sales Tax No.
Lot
Block
Filing Number
Subdivision
PUD
Parcel # f
DESCRIPTION OF WORK
Stock Options
Plan No -----.—Codes--
Fst.Totall
iincluding labor, material, profit)
f 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 -
New Alteration Addition Demolish Move
0 . 0 0 0 0
Pllbg Mec Elec. Struct. ,Fire Prot.
0 13
Occ. G r. ii
Type Const. Use Zone d ir ;1
Use of Building
FloorHeight
No. Stories/;_
Lot Area ' ]
Frontage
Occ. load
[Occ. Change from
Plat File No.
No. D.U.
Garage area -Allill d*Bsmt.
iiii
area
Type heat PK4
r Lepl a c orstoves
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--
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground_
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
Cj
Corner Lot
0
Reversed Corner Lot
11
cc
IV
g)
LL
_V
Street—
C
0
co
co
-0
ZBACase #
Date
BBACase #
Date
Building Insp Approval
y date
-7 Sr 35S
to 11318:7
Permit No.
Date
osliibLition Original Applicant l Office Canary - Sales Tax Pink Applh(;ant Tag - Bldg Insp. %.0 '.'