HomeMy WebLinkAbout512 E Magnolia St - Permits - 12/30/1999 (4)Community Planning & Environmental Services p
Buil&n Permits & Inspections Division B H U.
NG PERMIT
g P
® P.O. Box 580 s�
c;tyof Fnn cenins. Fort Collins, CO 8052,22r0580 221-6769
JOWSITE ADDRESS 512 W MAGNOLIA ST
PF7A''ft HEATER `°'TVUE FAMILY DETACHED
_ PRMIftNTIAL °r°°° 'e-"PV L/FINAL
- - - - Subdivision ElPUD Filing
SubdiviuoNPUD Building V°luafion 7089
W
�- Lot Block PexelMo. ;< -
'�.. ACCOUNT _ `-FEE - DATE PAID
W
3
0
KIMBALL RD
80521
MBING & HEATING
S. LINK LN. "" FT COLLINS
484-4841 Sole
TER HEATER REPLACEMENT
WESLEY M'L BLDG PERMIT FLAT 15.00
`PORT COLLINS
r,
B
0960571 "-PMRUARY 29, 1996
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State
laws associated with such work. I understand that such permit may be revoked in the event
that issuance was based on incorrect information. This permit shall become null and void if
the work authorized by such permitis not commenced suspended, abandoned, or not
inspected within 180 days from the date of such permit.
Signefure - - - - Dare
TOTAL FEES
LEFT
SETBACKS
REAR
FRONT
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
FNP
Cgty Ot Fort LO11inS 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
�
Mail Address _ 7
O
/ AJV i
-
Phone "-t^7 -_ ' 377
Name f G4r �%✓ ��� -
o
_
0
Addresses--
E
y
U
LicenseNo.��"'�
Phone
c
Lot
Block
Filing Number
Subdivision
N
PUD
3
-Parcel# -- -
DESCRIPTION OF WORK
�-
Stock _ Options _
Plan No:
C-,odes
.d
'Est. Total Cost
(including labor, material, profit)
. ~I hereby acknowledge that I have read this application and
st6te'that tqa above is correct and agree to comply with all city
'ordinan and state laws regulating building construction.
-_ signed - - date -
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct.. Fire Prot.
❑ ❑ IIK ❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Building i
i
FloorArea Height
No. Stories Lot Area j Frontage
Occ. load Dec. 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 f
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check t
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
j
Total Fees - t
Olstnbution:on irar-Appft 4pt Blue -Office,Canary -Sales Tax:Pink - Applicant: Tag -Bldg. Ind,
i
Olstnbution:on irar-Appft 4pt Blue -Office,Canary -Sales Tax:Pink - Applicant: Tag -Bldg. Ind,
i
Off -Street Parking
(No. Cars)
f
Interior Lot
❑
Corner Lot
❑/
Reversed Corner Lot - ,CJ
{/
_
Y
m
cr
( 1
d
^
m
m
�
d
c
0
LL
Street
X --
«art
p 1.
ZBA Case #
Date
BBA Case #
Date
Buildin Sip. Approval
b date
,2,�,�
/ 5.
Permit No.
Date