HomeMy WebLinkAbout4136 Sumter Sq - Permits - 09/09/1983sty Fort Collins BUILDING INSPECTION DIVISION
d APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 4130 Sumter Square
Name K deaaa hovel Inc.
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Mail Address 'ob.5 JFK Parkway f20h
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Fort. Collins, vX1 L0525
Phone 76-5531
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Name Kurt Smeeoter
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Address _
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License No. D-2N
Phone 226-553I
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Lot 13
Block r}K
Filing Number C;3
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Subdivision Golden I eottous
PUD
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DESCRIPTION OF WORK
Stock l i j Options C O D' E, ti
Plan No. Codes
Est. Total Cost $72,37 i.110
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laifvs regulating building construction
E—J
si4ried dae ^-
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone ;
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
/
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
[Totat Fees
Distribution: Original - A$plicanh Bide - Office; Canary - Sales Tall Pink - Applicant, Tag - Bldg. Insp,
Off -Street Parking
(No. Cars)
Interior Lot
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Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
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Permit N ' � ,,
Date