HomeMy WebLinkAbout1218 W Magnolia St - Permits/Reroof - 08/29/1985City of Fort Collins BUILDING INSPECTIOWDIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete lhis part of form only.
Press firmly using ball point pen.
Job Address An M I
Name (' 4 4'A�
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Mail Address .•� r
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PC
Phone O _ n
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Name/rip
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Address if I^
License No. ,
Phone
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Lot , _ w
Bloc Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
i
S ock` Options
Plan No Codes
Est. Total Cost �j
(including lab, matenal or, 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 laws regulating building construction.
state
slgn'" date
S
— C ASS OF WORK — .
New Alt atiAddition Demolish Move
❑ ❑ ❑ ❑
Plbg. M Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of BuildingS. f., ;;; r /
Floor Area
Height
No. Stories
Lot Area
Frontage,
Occ. load
Dec. Change from
Plat File No. ..
No, D.U. .
Garage area
Firi. E smt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
k
E
Tax
St. Oversizing-Z
Water Plant Investment
_
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees
Cp.
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Oft -Street Parking
- (No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. / ;._ Approval
bydate
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f7/ASY
Permit No.
Date