HomeMy WebLinkAbout3718 Mariner Ln - Permits/Addition or Alteration - 06/02/1987City of Fort Collins BUILDING INSPECTION DIVISION
-APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
—CLASS OF WORK —
Press firmly using ball point pen.
Job Address g �%v� ` y y), ,�
Name �' 1�• -e r
c Mail Address
O
Phone !'
f ( J
Name 1
0
Address t i I t . • ._-� <
c
C
License No. S Phoney -
_
c
° 42
Lot � y Block Filing Number /
n
Subdivision
PUD {`i7
v 3 - D
Parcel #
DESCRIPTION OF WORK
v
Stock Options
Plan No.% Codes
i
Est. Total Cost J
(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
ordinaries and state laws regulating building construction.
- ' signed `, \ ) �t date t
New Alte ion Addition Demolish Move
❑ I ❑ ❑
Plbgz. Madtf Elec/• Struc� Fire Prot.
Occ. Gr.--Q Type Cobst. V—M I Use Zone Q L JJ
Useof Building S"�t�-'
_Floor Area �10 Sp rj C4 Height
Stories Lot Area Frontage t
Occ. load Occ. Change from `- J
Plat File No. 3(.0 • t i/ No. D.U.+ 11
Garage area �( i Fin. Bsmt. area
Type heater No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review `6�i r}�•�JUiL✓J 5/7 y�''
Special Conditions: 7
cr,
Valuation FEES
Plan Check
Permit 1414 J
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total -Fees,
Distnbution: Original - Applicant: Blue - Office: Opnary - Sales Tix'P;nk � Apphcant. Tag - eidg. Insp.
—CLASS OF WORK —
Press firmly using ball point pen.
Job Address g �%v� ` y y), ,�
Name �' 1�• -e r
c Mail Address
O
Phone !'
f ( J
Name 1
0
Address t i I t . • ._-� <
c
C
License No. S Phoney -
_
c
° 42
Lot � y Block Filing Number /
n
Subdivision
PUD {`i7
v 3 - D
Parcel #
DESCRIPTION OF WORK
v
Stock Options
Plan No.% Codes
i
Est. Total Cost J
(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
ordinaries and state laws regulating building construction.
- ' signed `, \ ) �t date t
New Alte ion Addition Demolish Move
❑ I ❑ ❑
Plbgz. Madtf Elec/• Struc� Fire Prot.
Occ. Gr.--Q Type Cobst. V—M I Use Zone Q L JJ
Useof Building S"�t�-'
_Floor Area �10 Sp rj C4 Height
Stories Lot Area Frontage t
Occ. load Occ. Change from `- J
Plat File No. 3(.0 • t i/ No. D.U.+ 11
Garage area �( i Fin. Bsmt. area
Type heater No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review `6�i r}�•�JUiL✓J 5/7 y�''
Special Conditions: 7
cr,
Valuation FEES
Plan Check
Permit 1414 J
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total -Fees,
Distnbution: Original - Applicant: Blue - Office: Opnary - Sales Tix'P;nk � Apphcant. Tag - eidg. Insp.
Distnbution: Original - Applicant: Blue - Office: Opnary - Sales Tix'P;nk � Apphcant. Tag - eidg. Insp.
Oft -Street Parking
No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
I
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II
I�lit
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J o
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Street
0
0
ZBA Case #
Date
BBACase# I
Date
Building
Insp. I — Approval
by
Permit No. -.
Date