HomeMy WebLinkAbout630 MARIGOLD LN - PERMITS - 9/10/1986city
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 1
Mail Address -Sc; VA Nk
3
t tt
Phone
Name ` I• n -, I
0
Address .-o -t (4fr4
-
U
License No.
Phone
c
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n
Lot �y
Block
Filing Number
Subdivision
PUD `j tit �'Jftth •�L\,t\�7i
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DESCRIPTION OFp WORK
.l Al '� r C9 fl Gt 9
�I
Stock Options
Plan No. Codes
Est. Total Cost 1 S*�r" K\. CO
(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 c •� date
— CLASS OF WORK
New Alteration Add iI.on Demolish Move
El Cl ❑
Pa Mech. Eleo. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
o. 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:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Overslzing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
I.Total,Fees
nistribubon:Original- ApplicanViria Office:Canary - $ales Tax;Pink -Applicant, Tag - Bldg. Inap-'
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
m
V
m
fn
N
N
0
_J
Street
c
0
al
a
ZBA Case #
Date
B BA Case #
Date
Building Insp. Approval
by date
2l '
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