HomeMy WebLinkAbout4107 ATTLEBORO CT - PERMITS - 9/17/1986city
®f 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 I
d
c
Mail Address
fi S 2
Phone 22 . Q
`o
Name ( /74
m
Address 72
License No.
Phone
Lot Block
Filing Number
Q
Subdivision
0
PUD
rn
�
Parcel #
DESCRIPTION OF WORK
/'
2-6P
G oor
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\dated
— CLASS'OF WORK —
New Alteration' Addition Demolish Move
❑ ❑" ❑ ❑ ❑
Plbg. Mech, Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area J
Height
No. Stories •Lot
Area r
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's f,l t" , FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original - Applicant: Blue -'Office: Canary - Sell Tax, Punk - Apprk Tay - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
_r
m
>
m
_Io
V
I I
I )
to
I m
N
c
0
lL
`J
Street
0
m
0
m
ZBA Case #
Date
BBACase#
Date
Building
Insp. Approval
by
date
/4
!
/
c, Permit No,
Date