HomeMy WebLinkAbout4229 S MASON ST - PERMITS - 2/24/1986City
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
Mail f r
-�Address
3
Phone
Name /c
Address
? V 1 �3., CO �? J� 6
License No. _ Phone r _ 22
4
Q
Lot A-'-=
Block 'y
Filing Number
h
v
Subdivision.,` •� :s ,y iRaf, y�� '3�, '.�
PUD
d
DESCRIPTION OF WORK
i.
C
Stack Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit) t
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 - ;` -_sate .
— CLASS OF WORK —
Alteration Addition Demolish Move ee
❑ ❑ ❑ ❑
P111g. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
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:
V
Valuation - - (FEES
Plan Check J e
Permit
Parkland
City City Sales Tax
�,rr Ir -
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees
nistribunon:Original-Appl¢aln, glue-�Otlice; Canary'-S)es Tax.Pink- Applicentl Tag'Bltla. Insp., �
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
0
`m
I >
m
1
m
^
D
m
�2
"V
Street
c
0
a
ZBA
Case #
Date
BBA Case#
Date
Building Insp.
,Approval
by
..,%. !�
J date
J/
ermit`No.
��
Date