HomeMy WebLinkAbout4261 MCMURRY AVE - PERMITS - 1/3/1984 (2)City
of Fort Co111nS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 4261 1_cHurrav Avenue
Name Medema !?muss Inc.
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Mail Address 3b65 J.P.K. Parkway — #20E
3
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Fort Collins, CO A.0525
Phone 0226-5531
0
Name Kurt Smeester
2
Address (Sane art above)
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PARCEL DO. #87314-16-411
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License No. D-28
Phone 4226^5531
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Lot 11
Block 0o
Filing Number 3
a
Subdivision Colden Headows
PUD
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DESCRIPTION OF WORK
Stock EL lii Options .t L
Plan No. Codes
Est. Total Cost $61,644.0ij
(including labor, material, profit)
. I hereby acknowledge that I have read this application and
stale that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
—Sgned
t date, A
— CLASS OF WORK —
Ne Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area J 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 r
-
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
-•- --
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
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Reversed Corner Lot ❑
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( - 1
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9
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in
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in
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Street
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D_
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f ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
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Permit No_`
_ Date\ .
Distnbugeo. Original'' Applicahl;'Elue' Off ce:'Canary - Sales Tax: Pink - Applicam; Tag - Bldg. Insp.
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