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HomeMy WebLinkAbout1602 Beam Reach Pl - Applications/Single Family New - 08/17/2006BUILDING PERMITS & INSPECTIONS DIVISION :... P.O. Box 580 •Fort Collins, CO 80522r0580 • Phone: 221-6760 www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER ftoo3qqq APPLICATION DATE V / I �' v (e IC) Job Site Address /,- /jFFiB-c1y 44C-c Unit #- 4111 PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # .367t 3 - %- Last Name C- /ff/F2rWA-- Aifersl First Name t� — Middle " Street Address .3000 p &-;r /�w rx �JD City /JOL/L✓Jxy2 State ro Zip ao CONTRACTOR INFO:: Company /Name ALL Contractor Phone # 0 Lic. Holder Name U4 !./ City of Fort Collins License #_D- VQ7 Supervisor Cert # Mailing Address 3000 A67nL' S11171r -2-00 City 130 1,LD&-2 State_ Zip CP03 Q op LEGALINFO: Subdivision/PUD 9Lt CloIrLOf 1-4L4tr !/ �� Filing # Lot #j Block # N4 Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ?i%i 3 Total Garage Sq Ft Residential Sq Ft yZ23 Comm] Sq Ft AIA # of Stories_ Bldg Height /1 ! # Dwelling Units 1st Floor Sq Ft '� ZZ3 2nd Floor Sq Ft "A # of Bedrooms # of Full Baths Air Conditioning: Yes No Energy info: (circle appro 3. ResCheck w/Blower Door 4. E-Star w/Blower Door Unfinished Bsmt Sq Ft .2 Z Finished Bsmt Sq Ft 16P61 %< Baths /z Baths % # of Fireplaces i riate choice) 1. ComCheck 2. ResCheck w/Air Sealing 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door City of Fort Collins Stock Plan # NA List appropriate option UTILITIES INFO: 3 . /L Water TapSize Sewer TapSize it Metered: Yes or No Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only) Value of Construction (including labor, material & profit) $_ AA Temp. Pedestal: (S)or �150 Amp or Less ❑ 200 Amp Description of Work: %v/-'CC FR2�riLV Lu vir Sc ant Vi+%r .�tts C ctiS"71i✓ c� Contact Name & Phone # of JOBSITE SUPERVISOR: V<tC-i'f [ %4,c /A7'7 Subcontractor Info: No ❑ Other J r n Electrical yor'n+eAw Lief/a Mechanical £�/ &A", e £A/a Plumbing _ToE s 9"L✓.y(3i�✓ r � Framer wrc,� . Roofing&0u �i'�LF✓ Concrete AGi- �© S_O yr Other Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinances and, state laws regulating building construction. p Applicant Signature i�[ `" C �`014z' Print Name �IC�f U10-c Phone[�LLa�;2 Distribution: A i e -Office 'Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE