HomeMy WebLinkAbout930 WHALERS WAY - PERMITS - 6/28/1985✓lty of Fort CollhjS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERh4T AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 930 V114 X_ AT
Name (
5 Mail Address
i
� t r
_." Phone .. - .
Name
5
u Address
License No. - 7 Phone
Lot ,i.} _Block Filing Number
i
+ Subdivision
PUD
DESCRIPTION OF WORK
dock Options
Ian No. Codes
st. Total Cost I
ncluding labor, material, profit)
I hereby acknowledge that I have read this application and
late that t1le above i�p correct and agree to comply with all city
Irtlinan%ca ancL stalk laws regulating building construction.
signed - _ date .
vmmmrc Applmant. Blue - WNW.. Canary - Sales Tax, An4'?r•dptitan�: �a+
— CLASS OF WORK —
VRe Alteration Addition Demolish Move
I ❑ ❑ ❑ ❑
Pfbg. Mach. Elea 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 w. 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
-
o e
- Off -Street Parking
(No. Cars)
Interior Lot
❑
' Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBACase#
Date
Building Insp. -;+'-"Approval
by date
ate