HomeMy WebLinkAbout512 E Magnolia St - Permits - 12/30/1999 (2)1
ty 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 t `{. Al
Name 'W.e s _
Mail Address >f"/'7
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Phone da - 3 7 7
Name ' -.
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Address ? �'
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License No, S 5 '7
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Phone�d.�-)T7r4
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Lot
Block
Filing Number
Subdivision
PUD
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DESCRIPTION OF WORK
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j/ s �II�t F Gl S
Stock Options
Plan No. Codes
Est. Total Costr`
(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 slate laws regulating building construction.
" - signed ' ' Z 1 .� ;^f, 7fa[e\f
— CLASS OF WORK —
New Alteration Addi�t}.on Demolish Move
El ❑ 7 ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr. Type Const,
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Dec. 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 F9ES ..-
Plan Check
Permit
Parkland
•,
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
TotdllFees '
A'
Dwnouoon Onginal - AOpLcanl; 8lue - Office; Canary - Sales Tan, Pink - Appficanl. Tag - aftl9_ lose.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
1a'�
- C1- gt/
Pd{mit No. ��
Date