HomeMy WebLinkAbout925 ALEXA WAY - PERMITS - 11/29/1988City 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
Name
c
Mail Address
Phone 2
Name �t0("E t=ctq
o
V
Address
c
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License No. —,S
Phone —�
Contractor Sales Tax No. 'Lt
c
4
a
Lot Zb
Block Filing Number
u
Subdivision
PUD
Parcel N 0..
DESCRIPTION OF WORK
W
ptionsodes)
hereby acknowledge that I have read this application and
scat at the above is correct and agree to comply with all city
or in es and state law reg atin building consJtructio .
igned ate
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech, Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. 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
2
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
D�W,Ibrn..� Odgrnal - Applicant, BMn./dilie[, Canary - Sates Tax: Pink - Applicant; Tag - Sing. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
D
A
m`
m
°
m
Y
in
2
Ju.
Street
PRMTS 23.62
TAXPM 13„75
TOTL 37,37
01 1; 3'
N29503
09*51 A
° 40U=29'68
0
n
ZBA Case k
Date
SBACase#
Date
Building Insp.
Approval
by
date
'307 E�9
, It
I
Permit No.
Date
37