HomeMy WebLinkAbout3612 Mariner Ln - Permits/Deck - 07/22/1983�malty of Fort CollinS BUILDING INSPECTION DIVISION
y APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 361
Name 0 Cil `y-10 0-1
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Mail Address j&/,7 Hi IC( ��/•
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Phone _5 4
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Name MI��L�I dOtJ
Address
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License No.
Phone
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Lot
Block
Filing Number
Subdivision
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DESCRIPTION OF WORK
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Stock GvU, �a Options
Plan No. O �y. Codes
Est. Total Cost L H� •
(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 &te
- CLASS !OF WORK
New Alteration A n Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. 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 0 C 10,vvj /i aL&W-53
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 ❑
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103472P 06 191
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10N.MP-7801, 1003
Street
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04606 1,90
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5_a-a3 Date
BBA Case #
Date
Building Insp.
by
Approval 7 L
date y
%/
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Permit No.
Date
11 #
.90 S
.009
1.32 i
7.22 it
Distribution: Original - Applicant: Blue - Office: canary, - Sales Tax; Pink - Applicant Tag - Bldg. Insp.