HomeMy WebLinkAbout4318 KINGSBURY DR - PERMITS - 10/31/1988City 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 c
mc
Mail Add ess A ¢F
)
t��c
Phon
Name
o
U
Address 3 �lnv
m
�
c
t'1 r �yL
U
License No.49 3
Phone
Contractor Sales Tax No. y
°
a
Lot
81ock
Filing Number
m
Subdivision
0
c
PUD
Parcel # r "'d0
DESCRIPTION OF WORK
Stock Options
Plan No.Codes
D `
Est.Total Co t
(including labor, material, profit)
I hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
state laws regulating building construction.
4ned
date
— CLASS OF WORK —
New Alt r tion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. M
❑
Elec. Struct. Fire Prot.
❑ ❑ ❑
Occ. Gr. Type Const. I
Use Zon
Use of Building
Floo*No..
No.
OccPlatGar
V
TypNo.
Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water 8 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
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
all
r
m
m
l )
1 )
d
_Ao
d
N
`m
y
P
0
_JLL
Street
FI"zMTS 15.00
TAXPM 1.37
TGTL 16.37
IN24506 13.32
A
>
NIT".0,I788
ZBA
Case #
Date
BBACase#
Date
Building Insp.
prova(
by
date
Permit No.
Da
,,37
Distribution: Original - Applicant: Blue - Offlce. Canary - Sales Tax: -Punk - AppllcanC Tag - Bldg. Iosp.