HomeMy WebLinkAbout920 N MASON ST - PERMITS - 7/25/1988City
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 Q p /n
Name f�' AA-
8
c
Mail Address 92-0 �t S e- 1
3
O
Phone Y "-0 Zz(
Name
o
U
Address
m
c
U
License No.
Phone
Contractor Sales Tax No.
_C
a
Lot
Block
Filing Number
�2
d
Subdivision
PUD
�
7oZ -Ot Parcel #
DESCRIPTION OF WORK
a�tgS S
Stock Options
Plan No. -Codes
Est. Total Cost 910 Z)
(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 dat
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. ruct. Fire Prot.
❑ El ID❑ ❑
Occ. Gr. Type Const.
Us Zone
Use of Building
Floor Area
Height
No. Stories
Area
Frontage
Occ. load
Occa 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
❑
m
I9
( 1
l l
m
1
�
m
in
0
LL
"J
Street
o
h9 .C_0 .a -L. Y
ZBA Case #
Date
BBA Case If
Date
Building Insp. Approval
by date
Permit No.
Date
nktribution Ong flat , Appllcaal Blue_ Otpc, Canary - Sales Tax .Pifik- Appl cads Tag Q Bldg I n9p.