HomeMy WebLinkAbout4312 Cape Cod Cir - Applications/Single Family New - 01/13/1986CITY OF FORT COLLINS
P.O.Box 580
Port Collins, CO 80522: NOTICE OF BUILDING PERMIT APPLICATION ((
Building Address
j
PROPERTY_
Subdivision or P.U.D. Filing No.
Lot No. Block No.
LEGAL
DESCRIPTION
;
Lot ea
Corner Lot:
Total Str at Frontage (lineal feet)
(J. if/
_
YesZo
Name
Phone
CONTRACTOR
Address City State Zip Code
—R 1.66
2
Nam
Phone
��
ktd& i
OWNER
Address City' State Zip Code
no
Single Family Commercial ❑ Number of Units:
USE OF
BUILDING
Multi -Family ❑ Other:
TYPE OF
Gas Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
HEAT
WATER AND
SEWER
WaprTapSize:
Sewer Tap Size:
_
Metered.❑6:n Flat Rate
Dr
4nage Basin
Gross Area
STORMWATER
'UTILITY
a
ate
Runoff Coefficient
Detention Reduction Factor
Floodplain
i Q,
4-
O .. Z,
Yes No'
(To be '
Uti Ity Fund N ber
Storm Drainage Ba in Fee, _ 99 i
completed'
by
C.O1,o-
others)
Stormw erUtilitySi nature
I
NOTE:
I understand that the Storm Drainage Basin Fee must'be paid prior to the issuance of a Cet-
tificate 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
'ssu
approval before a Certificate of Occu ancy will be d.
Signature of Applicant:
Date:
DISTRIBUTION 1. Original:.Applicant'—' 2. White:. Building Inspection — 3. Gold: Stormwater'Utility A. Blue: Transportation Utility. '
— 5.'Pink: Light & Power.-6r Yellow: Water & Sewer