HomeMy WebLinkAbout901 PARKVIEW - PERMITS - 4/28/1988City 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
Mail Address0 "!
co
Phone 4lit I, _Il (j
Name ,- 5.�
o
U
1�_,
Address "tom !
U
License No. . /_�j Phone �+�,%',Z
Contractor Sales Tax No. h
GLot
(Block IFiling Number I
m
_
Subdivision
0
--
PUD
m
f
Parcel # 9 7 ,);" 2 -dc C
DESCRIPTION OF WORK
—i,
Stock Options
Plan No. ++ ', Codes
Est. Total Cost __1-1-.� ,.�
(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-
s `\ll
signed date
— C ASS OF WORK —
New Alte ti n Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. M h: 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
❑
-
- ReversedCornerLot-
❑
- -
m
m
( I
1 )
�
^
" a
m
I- I-
_I°
I
vJ
Street
c
0
>
ZBACase#
Date
BBA Case #
Date
Building Insp. Approval
i ��-date
by
�
CPermit
Q
No.
Date