HomeMy WebLinkAbout800 W Magnolia St - Permits/Reroof - 10/02/1986City
'APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
of Fort
ollins
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Addresssss�,
Name-1i✓11tJ
`m
c
Mail Address �y irfa yl.
o
Phone �„�-..41_ }
Name_ ' I
0
m
Address 4¢ ;_,'J
U
License No. 2
Phon
°
Lot Block
Filing Number
a
m
Subdivision
N
PUD
m
�
Parcel #
DESCRIPTION OF WORK
t sF
Stock Options
Plan No. Codes
Est. Total Cost
(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 state laws regulating building construction.
�`.
signed C A `� --,date,
BUILDING INSPECTION DIVISION
— CLASS OF WORK —
New Alter t n Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. M dch. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building CS f �'
Floor Area
Height
No. Stories Lot Area
Frontage
Occ. load Occ. Changerfrom
Plat File to
�lo-U
Garage(area I �
Fin. Bsmt. are
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
;�17Yy I
Valuation s i --�— FEES
Plan Check
Permit
l- l
Parkland
City Sales Tax
I
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
7ota1"Fee9,'--\ I
Off -Street Parking
No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
_A
A
`m
li
V
m
2\
d
y
`m
n
C
O
"JLL
Street
c
o +
ZBA Case It
Date
BBACase# r�
Date
Building Insp., j - / Approval
by �j,.,,.L ( date
r
_
/ l
_,P�rmit No. L
_
D to
Distribullon'. Or,nal - Applicant; Blue - Office; Carry - Sales Tax: Pink - App�canfl Tag - BQ.-Insp.