HomeMy WebLinkAbout4152 Sumter Sq - Permits/Single Family New - 06/08/1984I
City 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.
Jol�Address 4J52 timter Square
.Name hedema Homes, Inc.
d
tail Address 3665 J.F.K. Pkwy. 1112C6
3
0
Fort Collins, CC 30525
Phone #22e-5531
Name Kart Smeeister
—
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m
Address (.3ame as above)
o
PAit.TL NO. #87314-13-017
O
License No. D-2b
Phone #226-5531
4
Lot 17
Block CS
Filing Number S
y
Subdivision Golden Headowb
PUD
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DESCRIPTION OF WORK
Pi tee tr4 c4 br ;r r.)
Stock Options
Plan No. #115 Codes >�•� +FyG
S4i.,515.f?ti
Est. Total Cost
tincluding 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 — , - 2latp� ? �.
,- CLASS OF WORK
New Alteration Addition Demolish Move
fd ❑ ❑ ❑ ❑
Plbg. Mich. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. ' . `, j!
Jse Zone '
Use of Building Single Family 4408.1 fence
Floor Area
Height
No. Stories . t
Lot Area °
Frontage -
Occ. load
Occ. Change from
Plat File No. "i::
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
Total Fees G.
Distribution. Original - Applicant. Blue Office: Canary - Sales Tax. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
{]
Corner Lot
❑
Reversed Corner Lot ❑
a
m
ar
tr
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0
...V'IL
Street
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C
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ZBA Case #
Date
BBA Case #
Date
Building1nsp. Approval
by date
Permit No.-
Date