HomeMy WebLinkAbout630 MARIGOLD LN - PERMITS - 3/7/1986$� .-rr,, �.--r•
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 ,
Name r
`m
Mail Address
o/��
• �. t/D.S3
Phone
O
/9m Address
License No.
Phone
°
Lot
Block
Filing Numbe
y
Subdivisionre
PUD /
1
DESCRIPTION OF WORK
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Stock Options
Plan No. C7�!/ / Codes
Est. 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,
ordmances�3pid stalte laws regulating,bLiLd'ingestr- � n.
signed - date
— CLASS OF WORK —
IQL+ , Alteration Addition Demolish Move
❑ ❑ ❑ ❑
bg. Mech. Elec. Struct. Fire Prot.
5i-' ❑ ,
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. r j(? • No. D.U.
Garage area . Bsmt. area
Type heat No. Fireplaces or stoves
— RELEASES — Dates
Zoning 0 It
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
_
EES
Plan Check
Permit
Parkland
p
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant InvestmenI
ta
Storm Drainage
A 11r
_
Electric Underground
�?
.Total, Fees,
Off -Street Parking
(No. Cars)
Interior Lot
0
Corner Lot
❑
Reversed Corner Lot
❑
D
J
N
+
VV
m
� m
o �
fa o
Street
o -
a
ZBA Case #
Date
BBA Case#
Date
Building Insp. +-J4_Approval
date
Permit No. V
Date
Distribution: Original - Applicant` Blue - Office, canary -Sales To.; Pinh - Applicant, Tag - Bldg. Insp.