HomeMy WebLinkAbout918 Bramblebush St - Applications/Correspondence - 12/30/1999CITY OF FORT COLLINS
P.O. Box 580
Fort Collins, CO 80522 NOTICE OF BUILDING PERMIT APPLICATION
-'!�-/97
Building Address/
PROPERTY
LEGAL
Subdivisfo or P.U.D. Filing No.
1
Lot No. Block No.
/
DESCRIPTION
2
G� ✓r /
Lot Area
�Ud
r Lot:
Total Stre7tFoutage (lineal feet)
I
Yes No
Name f
/
n C_ '
Phone 7
� � 7 ��
CONTRACTOR
Address / City State' ZipCode
/�/ !� � fp del�✓� �il� .. �-OUP-/J�x/� �1�, D �a�-3�
Name
Phone
OWNER
Address City State Zip Code
Single Family Multi -Family ❑ Number of Units:
USE OF
BUILDING
Commercial ❑ State Type of Business
(Refer to Code Sheet)
TYPE OF
M i Baseboard ❑ Radiant ❑ Other:
Gas Electric ❑ Heat Pump ❑
HEAT
WATER AND
/r
❑ Rate ❑
SEWER
Water Tap Size:
Sewer Tap Size:
Metered Flat
Drainage Basin
Gross Area
STORMWATER
Base Rate
Runoff Coefficient
Detention Reduction
Floodplain
Utility Fund Number !
UTILITY
t J /I
jr, t. c tl
Gp, 8- -
Factor
� -,�
Yes No
f
J/ ��. � L
(To be
Stormwater Utility,.Signature
Stor Drainage Basin Fee j
{ completed
by others)Y.
k
R IS t� r ,(,)
f it
STREET
Fee
Signature r r �t 4t,.
Date
OVERSIZING
completed
th
Fee to be waived ❑
by others)
NOTE: I understand that the Storm Drainage Basin Fee must be paid prior to the issuance of a
Certificate 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 Occupancy will be issued.
Signature of Applicant:
C/
Date:
v
DISTRIBUTION 11.Original:Applicant-2.Gold: Stormwater Uti l ity-3.BIue: Transportation Utility-4, Green: Street Oversizing
— 5. Pink: Light & Power — 6. Yellow. Water & Sewer