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HomeMy WebLinkAbout4130 SNOW RIDGE CIR - PERMITS - 1/31/1984I City of Fort Collins BUILDING INSPECTION DIVISION _. A OLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. Press firmly using ball point pen. Job Address 4130 Snow Ridge. Circle Name Medema do es, Inc. m c Mail Address 3565 J.F.K„ Pkway 7 #208 0 Fort Collins, CO 80525 Phone #226-5531 Name Kurt Smeester o` -. Address (F;2�m@ as, o FAB.CZL NO. #97353-18-i?II O License No. 3-26 Phone # 22.6-55al 2 Lot 11 1Block 04 IFiling Number 1 Subdivision Off l loy Paris A PUD J DESCRIPTION OF WORK Stocklf.fr Options Plan No. Codes Est. Total Cost $ 33 , g 50.00 (including 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 dete . — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ ❑ Plbg. Mach. Elec. Struct. Fire Prot. [I Q-. ❑ ❑ ❑ Occ. Gr. Type Const. y,,, r Use Zone ;v (. Use of Building Floor Area Height No. Stories Lot Area ; I Frontage Occ. load Occ. Change from Plat File No. a No. D.U. Garage area Fin. Bsmt. area Type heat No. Fireplaces or stoves 1 — 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 W Storm Drainage _ Electric Underground Total .Fees Dnt&rbufim . "ginaP,' Apphcant; Blue , Office: canary - Sales Tan: Pink - Applicant: Tag - Bldg. Inspr Off -Street Parking (No. Cars) Interior Lot a Corner Lot ❑ Reversed Corner Lot ❑ m } m : _,V ( Ir ) l I m -� o in m C C 12 �J Street c 0 v LU ZBA Case # Date BBA Case # Date Building Insp. Approval by date Permit No. ' . Date