HomeMy WebLinkAbout2020 Falcon Hill Rd - Applications/Shed - 10/05/2006APPLICATION
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
WWW.fcgov.com/building
BUILDING PERMIT APPLICATION
O ' ( 707—S_ APPLICATION
Job Site Address ,,;N)O.2Li lndrr, �/jj/ PG! • Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone
Last Name JDGhCe-t- / t FirstNameTG
Street Address e'ROA i Fri ldokl Cil
Middle (�
A State_&_Zip .S.2 11
CONTRACTOR INFO: Company Name( 's I Gn -Contractor Phone # / %r�'4
Lie. Holder Name 23/ J Teyk-e3 City of Fort Collins License # LW- to 2 Supervisor Cert # � r
Mailing Address SL7wt l^,.J (%I eL.) - City % Te- State &- Zip �S Z
LEGALINFO:
Subdivision/PUD Ll�,F/{f—/�GGi� Filing # Lot # Block # Lot Sq Ft
5heec
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Gerag Sq Ft / Z U
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height 1D # Dwelling Units
1s' Floor Sq Ft 2na Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
\j
# of Bedrooms # of Full Baths 3/4 Baths /z Baths # of Fireplaces
Air Conditioning: Yes 0 Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or K Temp. Pedestal: Yes or V
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
c�0
Value of Construction (including labor, material & profit) s-Z Y n 75
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: O/ reTtt eoS J'6 7-5 3 / l
Subcontractor Info:
Electrical
Framer
Mechanical
Roofing
Concrete
Plumbing
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 orddiinan_ ,a and state laws regulating building coonnnstructionn..�
Applicant Signature_ Print Name /�i �� /L,il2s Phone
Distribution: White - Office Yellow - Applicant Pink - W WW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE