HomeMy WebLinkAbout4418 Irongate Ct - Applications/Addition or Alteration - 10/31/2006BUILDING PERMITS &INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
4�z� www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER�i APPLICATION DATE C W
Job Site Address �*/�V- :rf-6- t,,4*J i( „rd. r6, GCS S�0526Unit #
PROPERTY OWNER (INFO: ( II owner information �s required — it is not optional) Phone # lC
Last Name - Do-�tk � First Name ."' Middle
Street Address City 6 Statet46 Zip0,5z
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder
Mailing
LEGAL INFO:
City of Fort Collins License #
City_
Subdivision/PUD Filing #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Supervisor Cert #
State
Lot # Block # Lot Sq
Total Garage Sq Ft
Residential Sq Ft
Comm'I Sq Ft
# of Stories Bldg Height
# Dwelling Units
1s' Floor Sq Ft
2nd Floor Sq Ft
Unfinished Bsmt Sq Ft
Finished Bsmt Sq Ft
# of Bedrooms
# of Full Baths
% Baths /2 Baths
# of Fireplaces
Air Conditioning: Yes
No 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 #
List appropriate option #s
UTILITIES INFO:
Water Tap Size
Sewer Tap Size
Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical 7-a Q Mechanical ?-( ani-S4 , - Plumbing P-0-x �
i
Framer
Roofing
Concrete
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 ordinanc a d st a laws regulating building construction.
Applicant Signature Print Name /y 12,/e- L'I �Js,,,-I Phone 970 2166-?79/
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE