HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 4/7/1987City 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
v`
c
Mail Address
o
GD
Phone
Name /
0
Address d S
`o
O
0
License No.
Phone —
c
2
Lot
Block Filing Number
n
m
Subdivision
0
PUD
Parcel #
DESCRIPTION OF WORK
iFxx
Stock Options
Plan No. / Codes
-x
Est. Total Cost!L2� �� , fdeo'
(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.
_g
signed date
CLASS OF WORK —
New Alter ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. M ch. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
He!
t
No. Stories
Lot Ar
r tage
Occ. load
Oc . ha r m /
Plat File o
No. .U.
Garage area
F' arm area
Type heat I
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation A7 FEES
Plan Check
Permit
Parkland
le
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 jl
❑
Reversed Corner Lot
❑
a
I
>
:
y
d
^^
o
m
d
to
T
o
c
0
JLL
Street
PRNTS
62.50
TAXPM
86.28
TOTL
148.78
CHCK 14
N28804 15:59 A
APR.08'87
C
0
a
ZBACase#
Date
BBACase#
Date
Building Insp - pproval
bbyy
Permit No.
Date
.78
Distribution: Original -Applicant: Blue -Office, Canary -Sales Tax; Pink -Applicant: Tag -Bldg. Insp.