HomeMy WebLinkAbout4900 LANGDALE CT - PERMITS - 8/30/1989City 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
`r
c
Mail Address
3
O
Phone
Name �� 5
o
U
Address
c
U
License No.
Phone
Contractor Sales Tax No.
°
a
Lot Block
Filing Number
�R
N
Subdivision
m
PUD
J
Parcel N
DESCRIPTION OF WORK
F"
no
Stock Options
Plan No. Codes
Est. Total Cost rm
(including labor, material, pro it)
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 —
e Alteration Addition Demolish Move
❑ ❑ ❑ ❑
b Mech. Elea 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:
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
❑
D
46
m
I
'm
V
P5
^m
m
n
C
0
LL
`J
Street
o
3C,00
TCTL
30.00
70
3!
25073 1 ='43 A
A!'0.31 ' 69
ZBA Case #
Date
BBA Case N
Date
Building Insp. Approval
by date
Permit No.
Date
CC
D dlnbunon: Original - Applicant. Blue - Ofiice, Canary - Sales Tax. Prnk - Applicant, Tag - Bldg. Insp.