HomeMy WebLinkAbout426 E OAK ST - PERMITS - 9/27/1988City 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 ' ' 9 S If f'--) Ak
Name %Y2 p r r r 5 Zr r)
Mail Address
3
O
--__ Phone /J ? — ( () -7
mm
Name C_0LZlh5 C0X�t"21 .h"t�
Uo
Address
m
0
U
1y�
LicA? d Phone ��1% -- 6_r� ,
Contractor Sales Tax No.
°
Lot
Block
Filing Number
N
Subdivision
0
cu
PUD
m
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 con ruction.
signed date
— CLASS OF WORK —
New Alteration Addition Demolish
❑ ❑ ❑ ❑
Move
❑
Plbg. Mech. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const�
Use Zone
Use of Building
FloorArea � Uliy
eight
No. Stories -
t rea 1/
Frontage
Occ. load
Occ, Ch e 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 .,
.
a -a_.
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution 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
a�
c I
( (
}
0
Street
C
O
J
ZBA Case #
Date
BBA Case #
Date
Building
Insp- Approval
by
date
,-7j(��_ 6�)q
� 3
Permit No.
Date