HomeMy WebLinkAbout828 PETERSON ST - PERMITS - 2/4/1987city of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firm.4 using ball point pen.
Job Address
Name
w
Mail Address r t -
p
J/
liyc Phone ' —
Name 6r�L
o
---Addresses/C7/1
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z
3 /%
O
A i �)
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License No.
Phonic
4
n
Lot
Block
Filing Number
y
—
Subdivision
°
PUD
rn
Parcel #
DESCRIPTION OF WORK
''
Stock Options
Plan No. (I__ Codes —
Est. Total Cost l�f...+_-
(including labor, mate "4 I, profit)
I hereby acknowledge that I have read this application and
state that the above is correct qnd agree to comply with all city
ordirlances aryd state laws regulating building Construction.
--T-�Signed
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use -of Building -
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change 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
,
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
in
c
0
JlL
Street
PRHTS 20.50
TAXPM 15.50
o
TOTL 37.00
0HCF; 3.
N96789 10:28 A
FEB . 05' 87
ZBA Case # Date
BBA Case # Date
Building
Insp. Approval
by
date
Permit No.
Date
.00