HomeMy WebLinkAbout907 BUTTE PASS DR - APPLICATIONS - 10/19/1983NOTIC
G PERMIT APPLICATI
s
N,
NAME
MAILING ADDRESS
Medema Homes,, Inc.
3665 J.F.K. Pkwy #208
OWNER
CITY STATE
a
TELEPHONE NUMBER
Fort Collins, CO 80525
#226-5531
NAME
MAILING ADDRESS
Kurt Sm . e ester
(same as above)
CONTRACTOR
CITY STATE
TELEPHONE NUMBER
Fort Collins, 80525
(Same . as . .. above)
_Co
LEGAL
Lot # 05' Block # 05
Square Footage of Lot:
6000 sq.ft.
_#
DESCRIPTION
Building Address
Name of Subdivision
99
907 Butte Pass Drive
Willow
Park
Single Family XX 2-Plex 3-Pl x 4-Plex
Apt. Commercial
USE OF BLDG.
Public Number
of Units
TYPE OF HEAT
Gas XX
jElec.
Heat
Baseboard
lRadiant A
--
Other
TAP SIZE
Water Tap Size--
314+'e
S w 4 "_T
Sewer Tap Size
Metered
I
I Flat Rate XX
Basin
Storm
Drainage Area
STORM
DRAINAGE
Runoff Coefficient
Base Rate
Detention
Factor
Flood Plain
Yes 0)
UtilityFundNumber
Storm Drainage
Basin Fee
Note: .1 understand that the Storm Drainage Basin
Fee must be paid prior to the
issuance of a Certificate of Occupancy. I understand
that this application will
be handled as expeditiously as -possible, but that
it will be.at least 72 hours
before a permit can be issued.
�c..
storm Drainage
Signature of Applicant:
Si nature o I f Building Inspection:
'Date:
Distribution Code: White -Building Inspection Pink -Light & Power
Yellow-10ater & Sewer Gold -Storm Drainage