HomeMy WebLinkAbout636 S COLLEGE AVE - PERMITS - 3/10/1986City of Fort Collins BUILDING INSPECTION uDIVISION
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 Address,: r'<,• , �- f..
3.
Phone
o
Name f., `, f ✓ P' , f
Address l
License No.
Phone :f t-- { 4r
a
Lot
Block
Filing Number
N
Subdivision
m
PUD
J
DESCRIPTION OF WORK
d
C�• f 3°' f' t ?i'
Stock Options
Plan No. f Codes
Est. Total Cost -9 -
(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 r� r� date,
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ li-, ❑ ❑ ❑
Plbg. Me`ch. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area I
Height
No. Stories
Lot Area -e/'jFron`tagi
Occ. load
Occr Chia ge from
Plat File No.. ' �,
, o D.U.
Garage area3 -
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation /7. FEES
Plan Check
Permits
Parkland
City Sales Tax
St. Oversizing
v
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total-iFees" —.Z (-771.�
Distribution: original - Applicant `ue�'Offiee;Canary Sales Tax: Pink _Applicant; Tag - Bldg Insp�``-"�-
11
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
m
`m
am
Ca
c
0
li
Street
°
ZBA Case #
Date
BBA Case # r
s Date
Building Insp.
Approval
by
1 date
` Permit Nci__.`
Date