HomeMy WebLinkAbout7309 Crooked Arrow Ln - Applications/Single Family New - 11/14/2008_ity of Fort Collins
BuiwwG PERMPI'S & INSPECTIONS UMSION
P.O. Bout SW • Fort Collins, CO 80522-0580 • Phone: 221-6760
www fcgov com/bui [ding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE
Job Site Address T �a?O 64QK56J> L411,NE Unit #
Phone #p� - �� 7—
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name_y�� First Name i p Li Middle —FA::y L
Street Address Z�! �' LAJ • 0 � ) & City W c-,:rrgtAl-e,-r&< State _Zip ��Z�
CONTRACTOR INFO: Company Name ,5HOVL,J C HeA465 Contractor Phone #
Lie. Holder Name ("&i/�iIM�7City of Fort Collins License # �60 Supervisor Cert # gL
Mailing Address ! �e' u/`1i �1P.t V !7`>✓ CityS`iA�dJM State 4n Zip ����-
LEGAL MFO:
Filing # Lot # Block # Z Lot Sq Ft
Subdivision/PUB
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) OCR Total Garage Sq Ft
Residential Sq Ft 00 Comm'I Sq Ft & A # of Stories %_ Bldg Heighta'���� #Dwelling Units f
1st Floor Sq Ft g� 2"d Floor Sq Ft ___j—Z0 Unfinished Bsmt Sq Ft Z 4, Finished Bsmt Sq Ft N
)f Bedrooms # of Full Baths Z- % Baths NIA '/2 Baths / # of Fireplaces
Air Conditioning: es No Energy info. (C&cM appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck wBlower Door r4. E-Star wBlower Door 5. Prescriptive w/Air Sealing 6. Prescriptive wBlower Door
City of Fort Collins Stock Plan # I �� List appropriate option #s Z • �'/REPIi'4t:t: 10 �0 kX 14 4" 6-694,
to. $441 i J iNDow 1A) A1*79W F3EbiP��
UTILITIES INFO.
Water Tap Size # Sewer Tap Size �bMetered: 6Dor No Temp. Pedestal: Ye or No
Type of Heat: BeGas ❑ Electric Electric Main Breaker Size (Residential only): M011,50 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Description of Work: ✓04 Mfte!�Z 642%'6
Contact Name & Phone # of JOBSITE SUPERVISOR: M f k. 57-61,J -7— iZP - 30d- a 33-3.
Subcontractor Info: _
Electrical 612 & %G Mechanical > U�� M6.CI4441 64 L `_ Plumbing AU/W
Framer ��� �� Roofing ]7y� ZV.RN T— Concrete-� Other
-)plicant: I hereby acknow ge-tlsatT I read this application and state that the above information is correct and agree to comply with all requirements
,ntained herein and of Fort Collins ordinances and state laws regulating building'construction.
Applicant SignaturePrint Name_ /CI� .h#Pe- Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater