HomeMy WebLinkAbout416 N SHERWOOD ST - PERMITS - 12/4/1984City 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
Name
a
Mail Address
3
O
Phone
0
Name
o
Address
C
0
U-
License No.
Phone
4
Lot Block
Filing Number
aSubdivision
r-
N
°
PUD
iV
J
DESCRIPTION OF WORK
Stock Options
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.
signed plate
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ o ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
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:
Valuation FEES
Plan Check
Permit
_
Parkland
City Sales Tax
St.Oversizin_g
Water Plant Investment
Sewer Plant Investment
Storm Drainage
. ---_ _. —_ -
Electric Underground
- ---- --
Total Fees
Dist,h1t,ln Ongmel AppLcant Blun-Office Canary Sales Tax Pink -Applicant. Tag Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
_r
a
m
m
m
cr
_IV
( l
( I
a
to
}
C
0
Street
C
0
ZBA Case #
Date
BSA Case #
Date
Building Insp. Approval
by date
S
.u- _
Permit No.
Date