HomeMy WebLinkAbout4107 CLAYTON CT - PERMITS - 4/3/1987City 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 A(O l CL A C'i
Name J E P_z�y D>6 n) N A
to
c
Mail Address 4t 0 O
o
C CO SZ-S
Phone
Name Iz0 CLI:fY MO C
0
Address ilsQb fJJ�
W OOP Co Rozis,
License No. 7 5-1?
Phone z 3Z.- 0 Z 2ZV
0
Lot
Block
Filing Number
1w
Subdivision
O
PUD
d
Parcel #
DESCRIPTION OF WORK
I
i Ilk -rNSkA tc E 5
I
I
I
Stock Options
Plan No. Codes
,.�
ESL Q O Total Cost �
(including labor, material, profit)
I I hereby acknowledge that 1 have read this application and
sfatee that th ove is correct and agree to comply with all city
ordinances it state Is r ulating building construction.
4 3 97
Bed date
— CLASS OF WORK —
New Altera on
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Ve6h.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr. Type Const.
U e Zone
Use of Building
Floor Area
No. Stories
o
a
F on
e
Occ.
15 nge
fro
Plat File No.
o-
Garage area
. Bsmt. area
Type heat
No. Fireplaces or stoves
—
RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water 8 Sewer
Plan Review
Special Conditio
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 ❑
�r
`m
m`
BC
—�9
( ) t 1
d
�
`O
d
m
in
0
Street
PRMTS 50.50
TAXPM 56.38
TOIL 106.88
CHCkt 10
N28648 05:32 A
10
APR.03'87
ZBA Case # Date
BBA Case # Date
Building
Insp proval
by
date
(
Permit No.
Date
nistr(W& 04 at - ApplAn , Blue -Office, canary -Sales Tax: Pinh - Applicant: Tag -Bldg, Insp.