HomeMy WebLinkAbout4342 S COLLEGE AVE - PERMITS - 10/16/1987City 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.
!1
Job Address 2 . U NFT S
Name12APID -SgAC
0
Mail Address s. 4-01-L56,k AM
3
D
C t t 22.
Phon 3p3
Name Cul,
U o
Address 21S E = L
A
U
License No. Phon 39S'-2274
Contractor Sales Tax No. N
4
n
Lot -Block
Filing Number
d
Subdivision
re
PUD
w
parcel #
DESCRIPTION OF WORK
= N o L -V
S S CM
Stock Options N
Plan No. W 1A Codes
Est. Total Cost 2
(including labor, material, profit)
I hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating buildin ru cons ction.
`Tffil•:DY SECt?Klt'Y S1�ST�MS �KO/1,�
signed to
iDistribotton: Original - Applicant Blue - Office; Canary - Sales Tax:.Pink - Applicant; Tag
- CLASS OF WORK —
�
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. - Strudt. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr.
Type Const.
Use Zone
Use of Building -
Height -Lot
Area
FrontageOcc.
Change from.
=areaFin.
No. D.U.a
Fin. Bsmt. areallo.
Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering -
Fire Department
-Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit -
0. 0
Parkland
City Sales Tax
(o . rj
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground -
Total Fees
Off -Street Parking
_ (No. Cars)
Interior Lot ❑
Corner Lot ' ❑
' Reversed Corner Lot. -❑.
i
`w
d
`m
m
y
I
y
o
_V
Street
PRMTS 10.00
TAXPM 16.50
TOIL 26.50
CHCH
N24287 22:58 A
OCT.19'87
0
W
a
ZBA Case # Date
BBA Case # Date
Building Insp. 1 Approval
by / date
2 -7 8 Z I
10/16 /63
Permit No.
Date -
am
Bldg. Insp. —