HomeMy WebLinkAbout4331 Pearlgate Ct - Applications/Addition or Alteration - 10/06/2006LJ�
City of Fort Collins
APPLICATION NUMBEI
Job Site Address
PROPERTY OWNER I�
Last Name
Street Address_q��
CONTRACTORINFO:
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Lic. Holder Name
Mailing Address -LPL
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION DATE
Unit #
°O: (All owner information is required — 's not optional) Phone # J % (� % 3 2
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First Name Middle
City State NA Zip"
Company Name Contractor Phone # 7 %Y ? 15'I g
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pgco ✓ s�� City of Fort Collins License # Z Supervisor Cert #
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LEGALINFO:i
t�Subdivision/PUD�� 7?< u��'_ I� Filing #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Lot #� Block # Lot Sq Ft /A
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths /2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: 04as ❑ Electric Electric Main Breaker Size (Residential nly):,p 150 Amp or Less 2 200 Amp ❑ Other
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Value of Construction (including labor, material & profit) $
Description of Work:
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Contact Name & Phone # of JOBSITE SUPERVISOR: 7-
Subcontractor Info:
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Electrical//1 /i t4 c—c.-E'yl — Mechanical plumbing
Framer Roofing r ,Q Concrete Other
Applicant: I hereby acknow dge tha hav ad this application and state that the above information is correct and agree to comply with all requirements
contained herein and City f Fort C ins o i nces and state laws regulating buildi ns uctio . jj//
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Applicant Signature Print Name Phone
Distribution: White — Office Yellow —Applicant Pink —WWW/Stormwater4'/1-547--/O k
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE CJ