HomeMy WebLinkAbout1117 W Magnolia St - Permits/Addition or Alteration - 09/19/1986ems,
ty of
Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
I Applicant complete this part of form only.
Press firmly using ball point pen.
Jed Address r w
ame 1
`m
Mail Address
3
O
Phone
0
Name
Address
o`
U
License No.
Phone
Lot
Block
Filing Number
Subdivision
d
PUD
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
1 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
— CL,4S OF WORK —
_
New Altaot Addition Demolish Move
C7 ❑ ❑ ❑
Plbg. MeACF1, Elec. Struct. Fire Prot.
C7 ❑ ❑ ❑ ❑
Dec. Gr. Type Const.
Use Zone i
Use of Building
FloorArea �`� f
Height t.
No. Stories
Loi Area ��-.-
Frontage f
Dec, load
Ode. hange from f
Plat File•No.- .p
No? D.U.
Garagearea -f�� Lfin.
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. Oversizing
Water Plant Investment
Sewer Plant Investment
-
Storm Drainage
Electric Underground
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
III
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JLL
Street
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7
ZBA Case
Date
BBA Case#
Date
Building Insp. ((f�, Approval
by date
,r•�y
Permit No,
Dat
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