HomeMy WebLinkAbout942 BUTTE PASS DR - APPLICATIONS - 10/4/198377
NOTICE OF BUILDING PERMIT APPLICATION "-
-'�
"
NAME
MAILING ADDRESS
Medema Homes, Inc.
665 J.F.K. Pkwy - Suite 4I20R
OWNER
CITY STATE
TELEPHONE NUMBER
Fort Collins, Co 80525
#226-5531
'
NAME
MAILING.ADDRESS
Kurt Smeester
(same as above)
CONTRACTOR
CITY STATE
TELEPHONE NUMBER .
(Same as above)
(same as above)
Lot # Block #
Square Footage of Lot:
LEGAL
16 01
6120 sg.ft.
DESCRIPTION
Building Address
Name ofSuubdivision
Filing #
942 Butte Pass Drive
willow
Park
I 1
Single Family Xx 2- lex 3-Plex 4-Plex
Apt._ Commercial
USE OF BLDG.
Public Number
of Units
_
TYPE OF HEAT
Gas XX
Elec.
Heat Pump
Baseboard
Radiant
Other
TAP SIZE
Water Tap Size 3/4"
SewerSize 4"
Metered Flat Rate %%
.Tap
Basin
Storm
Drainage Area
STORM
DRAINAGE
Runoff Coefficient
e'Rate
Detention
Factor
Floodd Plain
Yes No
Utility Fund Number
Storm—Dra-i
e Basin Fee
(N�C
b v�rca
Note: I 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..
'01
%83
Storm Drainage Utility
Signature of Applicant:
_Signature _of_Building Inspection(�// */
Date: p� _
Distribution Code: White-Buildingffnspection Pink -Light & Power
Yellow -beater & Sewer Gold -Storm Drainage '