HomeMy WebLinkAbout720 City Park Ave - Applications/Correspondence - 03/27/1985CITY OF FORT COLLINS
P.O. Box 580 -r—&
-Fort Collins, CO 80522 NOTICE OF BUILDING PERMIT APPLICATION
Building Address
720 City Park
PROPERTY
Subdivision or P.U.D. Filing No.
Lot No. Block No.
LEGAL
DESCRIPTION
Re 1 t of Penthouse Sub. iots 1 2-& Bld
Lot Area
Corner Lot:
Total Street Frontage (lineal feet)
22,862 SF
Yes No x
162'
Name
Phone
Thomas N. Dougherty
493-4980
CONTRACTOR
Address City State Zip Code
220 e. Mulberry Fort Collins Co. 80524
Name
Phone
Barbra Bejmuk
OWNER
Address City State Zip Code
P.O. Box 1613 Fort Collins Co. 80522
Single Family ❑ Commercial ❑ Number of Units: 18
USE OF
BUILDING
Multi -Family � Other:
TYPE OF
a�unr� __cdu�
❑ T OTi 12%.07
Gas ❑ Electric ® Heat Pump ❑ Baseboard El Radiant Other: _. _.. .... .._
HEAT
123.; i
WATER AND
v
41r ni' t
El ❑
SEWER
Water Tap Size: 2"
Sewer Tap Size:
Metered Flat Rate
Drainage Basin
r c4mv-1
Gross Area
n3 (-11 &cj�
L�_
STORMWATER
Rate
Runoff Coefficient
Detention Reduction Factor
Flood '
UTILITY[-514cp
w /
Yes No
(To be
Utility Fund NuftIber
Storm Drainage Basin Fee
completed
)/ /
StO lf;V
. by others) ro)
- 1��
6
!,
Stormwate5kUtilltySignatu a
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 Certificate of I:c pa e' sued.
Signature of Applicant:
Date: teBS
DISTRIBUTION 1. Original: Applicant — 2. White: Building Inspection — 3. Gold: Stormwater Utility — 4. Blue: Transportation Utility
— 5. Pink: Light & Power — 6. Yellow: Water & Sewer