HomeMy WebLinkAbout610 WHEDBEE ST - PERMITS - 8/25/1986ty 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
m
c
Mail Address
O
Phone
Name
0
Address
c
U
License No.
Phone
Lot
Block Filing Number
Subdivision
0
a
PUD
Parcel #
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 date
rg
— CLASS OF WORK —
New Alt n Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building -
FloorArea
Height
No. Stories
Lot Area Fr
Occ. load .10
Occ, CIS om
Plat File No. 'No.
U. I "
Garage area
in t. 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
is
City Sales Tax
4
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Fees-
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑ _
>
m
It
_I9
V
( 1
f 1
m
" o m
N
m in
`c
0
IL
�J
Street
c
0
W
m
ZBA Case #
Date
BBA Case #
Date
Building
Insp. ;y„Jlpproval
by
r - 'i date
ermitiNo. `-�
Date
Distribution: Original - Applicant, Blue - Diboll, Gallery - salb Tiv'. Pink wdalapaa[ Tag - Bldg. lqj