HomeMy WebLinkAbout609 TENTH ST - PERMITS - 9/12/1983®.�' ..:
Nk•M • .ai 9 �, x ti .
+' � ley of Port Collins BUI DING INSPECTION bIVISlO
APPLICATION FOR BUILDING PERMIT- AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Addres c
Name: f .. L IA
c
Mail Address
3
✓
Phone -- Z
-ryA
Name,. lj.—r
0
Address liz.
c
!.
U
License No. ..[..
Phone .-
0
°
Lot '!j Block Filing Number
h
Subdivision AUL, 41/C
ro
PUD
J
DESCRIPTION OF WORK
Stock j Options
Plan No. ( erodes
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 lawsy regulating building cdnstrucon.
si ned k -I—( j. dates
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑'' ❑ ❑ ❑ ❑
Plbg. M ch. ;tec. Struor Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr. '; Type Ctonst. !, ;'�
Use Zone tk L
Use of Building j
Floor Area ij
Height
No. Stories
Lot Area 6OWiil
Frontage S 1�
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area j
Fin. Bsmt. area
Type heat r
No. Fireplaces or stoves
— RELEASES—_ Dates
Zoning -414. 13 4--s- -,a
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
FEES
Permit
Plan Check
St. Oversizing
Water Plant Investment
b
Sewer Plant Investment
Storm Drainage;
Electric Underground
City Sales Tax r
(i t
Totahfees-�.
Permit No. Date
ZBA Case # l `/, `) Date 9 / Y
BBA Case # Date
Building Insp. Approval ;
by date
4)
Off -Street Parking
I
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
4^
v
m
d
tr
�n
m
^� T
M 0
0
J1L
Distribution: Original - Applicant;. Blue -. Nic . Canary - Sales Tax, Pink - Applicant; Tag - Bldg. Insp.
3
-T