HomeMy WebLinkAbout4425 STARFLOWER DR - PERMITS - 10/2/1984City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF 'OCCUPANCY,-Z
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address,.
Name
c
Mail Address•
Phone
o
Name r`
"
y
U
License No. Phan /
a
Lot Block
Filing Number
N
Subdivision
d
PUD /
J
DESCRIPTION OF WORK
T v%a-I � . P c"'-✓/ � it✓.-' r
�r
Stock Options
PlanNo._-1e/_ 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 re ulating building' construction.
— CLASS OF WORK —
N *C-- Alteration Addition Demolish Move
C] ❑ ❑ ❑ ❑
Pb Mach. Elec. StructFire Prot.
uc'_ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building t. p
Floor Area
Height
No.es�f •
Lot Area
Frontage
Occ, load
Occ. Change from
Plat File No. -- /
No. D.U.
Garage area `r,7
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
A t 7 ]
Parkland
J
City Sales Tax
(�
St. Oversizing
ec t� �• ;]
_
Water Plant Investment
Sewer Plant Investment
j Y, t ,. 3
d
Storm Drainage
C.
Electric Underground
- - 40 —
otal Fees
Off -Street Parking
<�
(No. Cars)
Interior Lot
❑
Corner Lot
Reversed Corner Lot
❑
,,A
� 5
R
d
d
^ m
Street e
c
0
W
a
ZBA Case #
Date
BBA Case #
Date
Building insp., Approval
by i , date
P t o.
YDate .
Dislribunon Original \A"iclinC$lue ,Oilice, Canarf-, STax Pir . Ippbcant. Tag - Bldg. Insp. ' i