HomeMy WebLinkAbout930 WHALERS WAY - PERMITS - 10/7/1986City 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
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c
Mail Address
3
O
Phone
0
Name
Address
c
0
U
License No. -
Phone
c
3
a
Lot 44q
Block
Filing Number
Subdivision
Pub
m
Parcel #
s'ln!3_-
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 i I cito
— CLASS OF WORK —
New Alte ti
a,
Addition Demolish
❑ ❑
Move
❑
IV Mach.
❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr. Type Const.
Use: Zone
Use of Building
-
FloorArea
No. Stories
t f t
rea
Frontage s
Occ. load `
cc. Change frgm
; s!
Plat File No.
� D.U.
Garage area
Fm.A§smt. area -
Type heat -
No. Fireplaces or stoves
—
RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
.
Plan Review
Special Conditions:
-
Valuation !c'
_J. -- ---._.
FEES
Plan Check
!
Permit
Parkland
City Sales Tax
•'
_.Y...
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
stribution Original - AppII+aM: Blue'- Olfice, Canary -Applicant Tag - Bldg. Inap.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. �'„T� Approval
by date
Permitt o.
ate