HomeMy WebLinkAbout636 S COLLEGE AVE - PERMITS - 5/6/1983City of Fort,.- Collins i
APPLICATION FOR BUILDING PERMIT AND
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name 1"
c
Mail Address,., 1.
Phone k {a nt-
_
Name
Address
License No. � _.
Phone t . fti,
°
a
Lot
Block
Filing Number
'N
Subdivision
m
PUD
m
J
DESCRIPTION OF WORK
lWrAlli
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.
sinned ` date
LDING INSPECTION DIVISION
ERTIFICATE OF OCCUPANCY
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ -o' ❑ ❑
Plbg. Mech. Elec. Struct. Fire Plot.
❑ ❑ ❑ ❑ 'fl.
Occ. Gr.
Type Const.
Use Zone
Use of Building °: #��;r,i�►
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 I
Fire Department
Electric Department f
Water & Sewer
Plan Review
Special Conditions:
Valuation �r �r z>
FEES
Permit
di t9
Plan Check
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
City Sales Tax
(fie,
Total Fees
g > ,-Cj
Permit No.
Date
I10467
0
SAS :1983
ZBA Case #
Date
BBA Case #
Date
Building Insp.-
by ": J��
rApproval f
date q it jft
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
Street
U)
Distribution: Original - Applicant; Blue - Office; Canary - Sales Tax, Pink - Applicant; Tag - Bldg. Insp.