HomeMy WebLinkAbout5919 Boyne Ct - Applications/Single Family New - 02/22/1988P.O. Box 580
Fort Collins, CO 80522
CITY OF FORT COLLINS
NOTICE OF BUILDING PERMIT APPLICATION
Building Address
c^ tJ Vq
PROPERTY
Subdivision or P.U.D. Filing No.
Lot No. Block No.
LEGAL
DESCRIPTION
Lot Area
Corner Lot:
Total Street Frontage (lineal feet)
Yes Ndt
Name
Phone,,
L
l�State`
CONTRACTOR
Address City Zip Code
ov`.t_ 3
Named
Phone
OWNER
Address City State Zip Code
Single Family Commercial ❑ Number of Units:
USE OF
BUILDING
Multi -Family ❑ Other:
TYPE OF
Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
HEAT
Gas
WATER AND
Water Tap Size: c3
Sewer Tap Size:
Metered Flat Rate El
SEWER
Drainage Basin
Gross Area
STORMWATER
13e Rate
Runoff Coefficient
Detention Reduction Factor
Floodplain
UTILITY
Yes N �
(ro be
Utility Fund fifumber
Storm Drai ge Basi as
completed
by olhero)
S r waferUtit' ySlgna ure
i
i
(o
NOTE:
I understand that the Storm Drainage Basin Fee must be paid prior to the issuance of a Cer•
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
approval before a Certific to of Occupancy will be issued.
Signature of Applicant:
Date: —
DISTRIBUTION 1 t• Original: Applicant — 2. White: Building Inspection — 3. Gold: Stormwater Utility — 4. Blue: Transportation Utility
— 5. Pink: Light & Power — 6. Yellow: Water & Sewer