HomeMy WebLinkAbout2224 Trestle Rd - Applications/Garage - 11/17/2006BUILDING PERMITS &L INSPECTIONS DIVISION
RO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
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City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER_ BO�OO / APPLICATION DATE / ( / — 0
Job Site Address y TR.P/p /a . Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name s4e 9'M-Q LL11- First Name
Phone # ,3a 3 - lq 3 - 9& yt/
Middle
Street Address l9—_12� �Q9 City -��r State _jZip �030!
CONTRACTOR INFO: Company Name h4&TYlZ5 Contractor Phone
Lic. Holder Name_ p p9/T_ e(a v City of Fort Collins License #_ Supervisor Cert #
Mailing Address ja t-ZA, " Y2, City
State Zip
LEGAL INFO:
ay- 9-7Budd c 9
Subdivision/PUD 51�2,�� Filing # 2 Lo' t #a Block #_ Lot Sq Ft lQS�O
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft W5&
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height
� #Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Bedrooms # of Full Baths % Baths /z 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 # 1103 List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No ,� Temp. Pedestal: Yes or No
0
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) $ .3%, g63 . 6-0
Description of Work:_ Ae4&A he d" Ai/.r 1AiJ /,r nnn Q /a. o
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical l�e� j�/ SSv w ,p> eYechanical
�qr �- Plumbing
Framer - t,01^� Roofing � R(gam Concrete
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 rt Collins ordinances and state laws regulating building construction. /�
Applicant Signature Print Name o Phone,14,3- S-q!—gls,
Distributio . White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE