HomeMy WebLinkAbout625 Marigold Ln - Permits/Single Family New - 03/29/1985City 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 %J
Name
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Mail Address
a
- I f Phone
Name_-
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Address
O
License No.
Phone
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Lot
Block
Filing Number
Subdivision
PUD
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DESCRIPTION OF WORK
Stock Optionsr-
PlanNo.
Est. Totaf Cost
lincluding labor, material, ro n)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city,
ordinannLZQ_aand state laws regulating udding cc _gstruction.
ned = date
— CLASS OF WORK —
Ne Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec, Struct. Fire Prot.
❑/ ❑71$� ❑
Occ. Gr. Type Const,
Use Zone
Use of Building g,
Floor Area
Height /
Notorle�/
y.
Lot Area rootage
Dec. load
Dec. Change from
Plat File
No. D.U.
Garage area
Fin. Bsmt. area
Type heat % -
No. Fireplaces or stoves
— RELEASES — Dates
Zoning / 1� / /4 : , x-,
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland z
l -
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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Stree-
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9
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ZBA
Case # Date
SBA
Case # Date
Building Insp. Approval
by
/ y-uP, date
PefIAM o. - -"
Date
Distriduhon Original - Applicant, Slue- Office: Canary - Sales Tax Pink - AppM1cant. tag - Bldg Inap