HomeMy WebLinkAbout6109 Estuary Ct - Applications/Single Family New - 01/23/2009BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER BO 10038Ca APPLICATION DATE
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is requirell — it is not optional) Phone # --O�k'/OU
Last Name to First Name Middle
Street Address City State�Zip
CONTRACTOR INFO: Company Name,4 ` INL �//�
p y � Contractor Phone # �/�' 0/ EJ
Lic. Holder Name 106Aj ✓1 1e City of Fort Collins License # Supervisor Cert #
Mailing Address /J/ ILt, �i City State_ Zip 3 4-
LEGAL INFO:
Subdivision/PUD ZL 4A,tl -/ (/ArL Filing # Lot # �� Block # Lot Sq Ft �i
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) � �%� Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of StociesBldg Height # Dwelling Units r
1s' Floor Sq Ft 2nd Floor Sq Ft
# of Bedrooms # of Full Baths
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
% Baths �_ '/2 Baths _� # of Fireplaces
Air. Conditioning: A No Energy info: -(Circle appropriate choice)
ComCheck
esCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
Cit of Fort Collins Stock Plan # List appropriate option #s
56.
sCheck w/Air Sealingrescriptive w/Blower Door
UTILITIES INFO:
Water Tap Size XGas
Sewer Tap Size Meteredgor No Temp. Pedestal: or No
Type of Heat: ❑ Electric Electric Main Breaker Size (Residential only): l50 Amp or Less ❑( 22000 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 00, d%ov
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
r
Electrical Mechanical ( /� t114 soe Plumbing �itr` ✓4, fA��
Framer I
oofing 1 s Concrete Other
Applicant: I hereby ackn wledge that Xave read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City f Fort Collins ordinanc nd state aws regulating building construction.A l
Applicant Signature (.� Print Name l Phone V ��
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE