HomeMy WebLinkAbout3700 Mariner Ln - Permits/Basement Finish - 11/04/1987r
City 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 2 —Z f 1 m- I b(�
Name Z U (JS
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Mail Address
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Phone
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Address \ 3
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License No.
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Lot
Block
Filing Number
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PUD
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cos 0-7 v (,\-->
(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
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ordina3ices and sole laws re building construction.
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signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ :0 ❑ ❑
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
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
C'
Valuation FEES
Plan Check
Permit
G a 1 7
Parkland
City Sales Tax
f3. -1 SS
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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ZBA Case #
Date
BBA Case #
Date
Building Insp. . ( [ Approval
by �� . • date
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Permit No.
Date
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Distribution: Original - Applicant; Blue - Office: Canary - Sales Tax: Pink - Applicant. Tag - Bldg. loss.
City 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 00 . cL (A) QW,
,r Name - .l •- (, f
c
Mail Address !
C
C '�
Phone -
`
Name
_o
m
Address
p
L
U
License No. C Z
Phone -I
c
n
Lot
Block
Filing Number
Subdivision _
PUD
m
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No Codes
ESL Total Cost '
(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.
� t i
signed I date
— CLASS OF WORK —
New Aire on Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Me h. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
i
IOcc,Gr. Type'Const,
Use Zone
Use of Building f
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:
Y
I f
Valuation FEES
Plan Check
Permit
i
Parkland
City Sales Tax
t
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
❑
0
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V
m
^
d
in
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rn
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0
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. _ Approval
by - . date
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j! L F 1
Permit No.
Date
DistributionOriginal - Applicant, Blue -.Office; teary - Sales Tax. Pink - Applicant: Tag - Bldg. Insp.
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