HomeMy WebLinkAbout961 SHIRE CT - PERMITS - 4/23/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address ��?1 zaire 1.4i?i't
Name
c
Mail Address -
3
O
Fort r'011irk -
Phone
`
Name rt,t: :., :1acs�:r
0
Address _ iI't= Or ;wit: 1r? lcr
U
License No. ;,,/C2
Phone 4L:.4 4,;y
°
a
Lot
Block a
Filing Number 1
y
d
Subdivision
o
PUD.i11313�r3.!'tt. iOWSii>4::>
m
Parcel #
DESCRIPTION OF WORK
;� s.:�nz;r�trr�czio,t
Stock Options
Plan No. 1 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 date
— CLASS OF WORK —
NEr Alteration Addition Demolish Move
C❑ ❑ ❑ ❑
Plb❑Mechem E1e Stru . Fire Prot.
C3' ❑
Occ. Gr.'
Type Const
Use Zone -
Use of Building
Floor Area
Height
No. Stories
Lot Area f +'
Frontage r
Occ. load
Occ. Change from
Plat File No. eft/'t y'
No. D.U. /
Garage area i° 5
Fin. Bsmt. area —+,—
t, y
Type heat _
No.frireplaggs.orStoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review Cr
Special Conditions:
'- .
r' . ,
Valuation FEES
Plan Check - 1
Permit
-
Parkland
City Sales Tax
!7
St. Oversizing
Water Plant InvestmentIr
Sewer Plant Investment
s..
Storm Drainage
fin"
Electric Underground
i'-
Total Fees
Uistnbution: Original - Applicant: Blue - Ottice: Canary - Sales Tax: Pink - Applicamt:-Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
Cf
Corner Lot
❑
Reversed Corner Lot
❑
m
r
m
m
1 U.
:)Eire 4 tiu£t
Street
c
0
a
m
ZBA Case #
Date
BBA Case #
Date
Building Insp. ; Approval
_
by ' date
Perfnit No.
, Date
a