HomeMy WebLinkAbout936 SAILORS REEF - PERMITS - 4/27/1983- y,.;r- •-. � ,yam- ... •ram_-� ,.-r ..-_,•v-.�..--�-.-Y":-�-' _y:. s._y.:�� -rc '�.�-'- 'C.-r.•�4 .�:�>F ..i.-y'.'"-- �., .. . ..., �. _o..- � �. -
City 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 AddressP'S�'�F
Name -
Mail Address C734 19 rM A—'
3
O
Phone
Name
0
Address
,
License No. J
Phone i / 7
a
Lot Block
Filing Number
N
,
Subdivision /Wf .4 Rk Zl r /1 r9f �
°
PUD
DESCRIPTION OF WORK
04PL0z
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.
a /n
r1 Ril �7Iri
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ X ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
Occ. Gr.
Type Const.
Use Zone
Use of Building��,... �t
FloorArea -i Hei ht
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 f f J S -41 -06 FEES
Plan Check
. 11/, &_0
Permit
vtfl
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees'>
Off -Street Parking
(No. Cars)
Interior Lot
17
X
Corner Lot
❑
Reversed Corner Lot
❑
C
72
m
,x _.
ti m
m
_
W
U)
ro r U)
0
Street
c
0
18
ro
H
-a
ZBA Case #
Date
BBA Case #
Date
Building Insp. fR, Approval .
'yam. date
0 3U
APR 2703
Permit No.
Date
Distribution:,Original ='Applicant; Blue - Office; Canary - Sales Tax; Pink - Applicant: Tag -' Bldg. Insp.