HomeMy WebLinkAbout901 DRIFTWOOD DR - PERMITS - 11/23/1988City 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 90,"C' r ; Ue
Name rho.
c
Mail Address 9 f uL
3
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Phone as&, _
Name
v,,
Address 3
cii
C
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License No. _
Phone 11 oZ �C _08 Sip
Contractor Sales Tax No. o-x 9 i
a
Lot ? j
Block
Filing Number
N
Subdivision
m
PUD
Parcel # '7113& t _O5 -0 85
DESCRIPTION OF WORK
D ; - -�v\
Stock Options
Plan No. Codes
Est. Total Cost 3
(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.
Q,Q,v / /// y fif
signed date
— CLASS OF WORK —
New Alteration AdditionlDe Demolish Move
❑ ❑ O/
Plbg. Mech. Elec. Str t. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
USL Zone
Use of Building
Floor Area
ig
t
No. Stories
o a
n e
Occ. load
Occ. Chq6.e f
ly
Plat File No. N
o. 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
7j
Parkland
City Sales Tax
47. Z
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
1�
Corner Lot
❑
Reversed Corner Lot ❑
a 3'
r
m
(33)
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in
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Street
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72
Ca
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by - date
-307S3
I OZ-3be-
Permit No.
Date
Distribution. Original - Applicant, Blue - Office, Canary - Sales Tax, Pink - Applicant, Tag - Bldg. Insp.