HomeMy WebLinkAbout210 W Magnolia St - Permits/Addition or Alteration - 09/02/1983■1a
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City ®f Fort Collins BUILDING INSPECFTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
" Applicant complete this part of form only.
Press firmly using ball point pen. "
Job Address - _ r/t/UL
-'Name.
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Mail Address
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Phone
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Name L� �. `c1d, •aiJ-xL
Address 5,C ,g"
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License No. 'Z Phone`22,L. 322.
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"Lot
Block
Filing Number
Subdivision "y -
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PUD
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- DESCRIPTION OF WORK -
O o
Stock -' - Options
Plan No. Codes-
Est.TotalCost
(including labor, material, profit)
I hereby acknowledge that 1 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.
- sign �' date- W
— CLASS OF WORK
New Alteration Addition Demolish
❑ Er, O ❑
Move
❑
Plbg. Mech. Elea Struct.
❑ ❑ M, ❑
Fire Prot.
❑
Occ. Gr. Type Const.
Use Zone
Use of Building el Iced
Floor Area
Height
No. Stories
Lot Area i 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 r
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
Total Fees '
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Off -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
by
date
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�Z
Permit No.
Date
0istributimm6nginal- April cant, Blue-00k,ae Canary - Sales Tax, Pink - Applicant Tag - Bldg Insp. f