HomeMy WebLinkAbout4142 SNOW RIDGE CIR - PERMITS - 1/25/1984City of Fort Collins BUILDING INSPECTION DIVISION
I APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 4142 Snow Ridge Circle
Name Medema Homy Inc.
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Mail Address 3615:5 J.F.K. Pkwq - #209
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Fort Collins, CO 80525
Phone #1226-5531
Name Kart Stneest er
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Address (Same as above)
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PARCEL go. #97353-19-013
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License No. D-28
Phone #226-5531
Lot 13
Block D4
Filing Number 1
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Subdivision Willov Part:
PUD
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DESCRIPTION OF WORK
Stock 1 u 3 A C
Options j T > ,
Plan No. Codes C
Est. Total Cost b46,bt9ft,U0
(including labor, material, profit)
1 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 date
— CLASS OF WORK —
Nyoy. Alteration Addition Demolish Move
Q' ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
El a 0 13 ❑
Occ. Gr. I Type Const. ;i •"
Use Zone
Use of Building
FloorA�ea �: "
Height
No. Stories
Lot Area i
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 F
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
Total Fees
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Distribution Original - Applicant, Blue kffic: Caha - Sales Tax: Pink - Applicant: Tag - Bldg: Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
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Reversed Corner Lot
❑
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Street—
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
Permit No.
Date
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