HomeMy WebLinkAbout2430 NEWPORT CT - PERMITS - 6/12/1984City of Fort Collins BUILDING INSPECTION DIVISION
APPI ICATION- FOR- MLDINa PERMLT AND CERTIFICATE OF OCCUPANCY
Appllcanr complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
iu
C
Mail Address -
3
O
Phone
Nameaw
o
Address
c
0
U
License No. Phone
2
a
Lot
Block
Filing Number
N
m
Subdivision
°
m
PUD
d
J
DESCRIPTION OF WORK
Stock Options
Plan No. ---Codes
Est. Total Cost
- lincluding-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 date
— CLASS OF WORK —
New Alteration Ad t n Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Ele . Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Dec. load
Dec. 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
Distnbuban Ongmal - Applicant Blue -.Office. Canary - Sales Tax Pink - Applicant T2g - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
m
ar
tr
d
in
c
0
lL
Street
a
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No. -
Da