HomeMy WebLinkAbout4132 SUMTER SQUARE - PERMITS - 9/9/1983; Of il's ( 011i`
,. BUILDING INSPECTION DIVISION ,q"
APPLICATION FOR BUILDING PERhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 4132 Sumter Square
Name Medetna Homes Inc.
c
Mail Address 3665 J.F.K. Parkwa #20b
o
Fort Collins, CC 60525
Phone #226-5531
`
Name Kurt Smeester
0
o
Address Same
c
O
U
License No. D-28
Phone #226-5531
C
Lot 12
Block ()5
Filing Number 03
Subdivision Golden Meadows #359
PUD
m
J
DESCRIPTION OF WORK
Stock 115 Options $ C F G
Plan No. Codes ' ' '
Est. Total Cost $ 78 , 534 , 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 lavfs regulating building construction
' r
signed __ date
Distribution Original - Applicant; Blue '-kofticte; Canary - Sales Tax, Pink
°i
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
FloorArea
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— 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
Storm Drainage
Electric Underground
tal Fees
Applicant: Ta§-- Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
E
v
m
Y rp
c
0
ti
Street
c
O
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by c ate
11. 93
Permit No.
Data