HomeMy WebLinkAbout1300 Fairway Five Dr - Correspondence/Other - 11/16/1987CITY OF FORT COLLINS
P.O. Box 580
Fort Collins, CO 80522 NOTICE OF BUILDING PERMIT APPLICATION
Building Address
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PROPERTY Subdivision or P.U.D.. Filing No. Lot No. Block No.
LEGAL
DESCRIPTION "] tL� tom• i ,•„ f t v.r`r Tf %�✓ r
Lot Area Corner Lot: Total Street Frontage (lineal feet)
Yes No
Name !! Phone j '1
CONTRACTOR L r i E (. i "'r ~° `~^' t L 9 t-1
Address City State Zip Code
Name Phone.
OWNER
Address City State Zip Code
Single Family �� Multi -Family ❑ Number of Units:
USE OF
BUILDING
'Commercial ❑ State Type of Business
(Refer to Code Sheet)
TYPE OF
HEAT Gas Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
WATER AND
SEWER, Water Tap Size: Sewer Tap Size: Metered Flat Rate ❑
STREET,' : Q Signature Date
OVERSIZING Fee
(To be completed. Fee to be waived ❑
by others)
NOTE: I understand that the Storm Drainage Basin Fee must be paid prior to the.issuance of a
Certificate of Occupancy. I further understand that if drainage improvements are required for
this site, two (2) copies of a drainage report and a drainage plan, signed and stamped by a
APPLICANT Colorado -registered Professional Engineer, must be submitted to the Stormwater Utility for.
approval before a Certificate of ccupancy will be issu d.
Signature of Applicant:
Date:
DISTRIBUTION t.Original: Applicant —2. Gold: StormwaterUtility —3.Blue: Transportation Utility —4.Green: StreetOversizing
— 5. Pink: Light & Power — 6. Yellow: Water & Sewer
CITY OF FORT COLLINS
P.O. Box 580
Fort Collins, CO 80522 NOTICE OF BUILDING PERMIT APPLICATION
Building Address
;t
PROPERTY
Subdivision or P.U.D.
Filing No.
Lot No. Block No.
LEGAL
DESCRIPTION''
�-
Lot Area
Corner Lot:
Total Street Frontage (lineal feet)
Yes No
t
Name
Phone
CONTRACTOR
Address City
Name
OWNER
Address City
..s
Single Family .f:1 Multi -Family C
USE OF
BUILDING
Commercial ❑ State Type of B
Phone
N
;P E
JJ Mate Zip Code
AMPS FAULT CURRENT !
t DATE Y.
SECONDARY DESIGNATION 7q
Haas —
(Refer to Code Sheet)
TYPE OF
HEAT Gas 0 Electric ❑ .Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
WATER ANDL
SEWER Water Tap Size: Sewer Tap Size: Metered F Flat Rate ❑
STREET Signature Date
OVERSIZING Fee
(To be completed Fee to be waived ❑
by others)
APPLICANT
NOTE: I understand that the Storm Drainage Basin Fee must be paid prior to the issuance of a
Certificate of Occupancy. I further understand that if drainage improvements are required for
this site, two (2) copies of a drainage report and a drainage plan, signed and stamped by a
Colorado -registered Professional Engineer, must be submitted to the Stormwater Utility for
approval before a Certificate off Occupancy will be issued. r,
Signature of Applicant:
Date:
DISTRIBUTION 11.Original: Applicant —2.Gold: StormwaterUtility —3.Blue: Transportation Utility —4.Green: Street Oversizing
— 5. Pink: Light & Power — 6. Yellow: Water & Sewer