HomeMy WebLinkAbout749 Marigold Ln - Permits/Single Family New - 05/09/1986ty 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
d
Mail Address ,�� _ze
Phone
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Name + -
-
Address
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License No. ..
Phone
Lot
Block
Filing Number
a
G
Subdivision
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PUD � /T
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�
Parcel #
DESCRIPTION OF WORK
1 /
Stock �G� Options
Plan No. Codes
Est. Total CostZ�Qg•
(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 state l/ajwsr/eguylat�ing/ building constr ction.
signed t ( date
— CLASS OF WORK —
r•
Alteration Addition Demolish Move
b Me Ele Struct. FireOrot.
Occ. Gr. Type Const.
Use Zone �[
Use of Building��
Floor Area
Height
No. Stories
Lot Area rontage
Occ. load
Occ. from
nChange
Plat File No. t - 7
No . D.U.
Garage area
i� .area
Type heat p
No. Fireplaces or stoves
— RELEASES
ti— c�Dates
Zoning % tlb
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
(�,,'�.'
qCheck
AFEESk
Taxingt
Investment
Sewer Plant Investment
or
Storm Drainage
Electric Underground
T6tal-Fcless )
7
Off -Street Parking
(No. Cars)
Interior Lot
Iy
Corner Lot
❑
Reversed Corner Lot
❑
`m
m
m
cr
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Vrr .
0
Jti
Street
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c
0
0
ZBA Case #
Date
BBA Case #
Date
Building
Insp. ��Approval
by
+/1 v date
(Vl�)I1
[ -!Permit
6-(i i
1
No.
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Distribution: Original - Applicant. Blue - OVice: Oaoar)Z Sale' -lax. Pink - APplicanll Tag - Bid,. Insp. '