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2651 Stonehaven Dr - Applications/Single Family New - 01/03/2007
BUILDING PERMITS RL INSPECTIONS DIVISION P.O. Box 580 •Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building 6a City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER -60 700® L V APPLICATION DATE Job Site Address `a(P S 1 S-kone-h Xle-n Z'r. Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 404- /-% 00 Last Name iorAYr4r\ a:y%. First Name Middle Street Address ` 0so E}(�rrivYq�pn C-tt . City F}, CA\ "'gkS State L0 Zip -aOSa-'s- CONTRACTOR INFO: Company Name SCLYY'\e— Contractor Phone # Lic. Holder Name '�) o0.y% City of Fort Collins License # C k- 5 `-\ Supervisor Cert# (D `A D Mailing Address PO box a10 g-55 City Fit-, eNS State (-0 Zip 2;052.s LEGAL INFO: Subdivision/PUDC_-Y\ct\CS\-\ RAhC�A Sovkj-�N Pub Filing # a Lot # Block # Lot Sq Ft $ \ b CONSTRUCTION INFO: Total Building Sq Ft (not including basement) $03 Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stories a. Bldg Height # Dwelling Units 1st Floor Sq Ft Oky 5 2nd Floor Sq Ft c6' (.DW Unfinished Bsmt Sq Ft $Og Finished Bsmt Sq Ft �oo # of Bedrooms 3 # of Full Baths '/< Baths 1 % Baths 1 # of Fireplaces +Jo Air Conditioning: Yes ©o 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 # �aalP List appropriate option #s ` IN UTILITIES INFO: Water Tap Size 3/4 Sewer Tap Size "I Metered: (9 or No Temp. Pedestal: Yes or No Type of Heat: X Gas ❑ Electric Electric Main Breaker Size (Residential only): W 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) Description of Work: W S\fN0 $ r u ,yy\� c--rttca�I� 1 ! t oZ5-q Contact Name & Phone # of JOBSITE SUPERVISOR: 0.Y1 Ua(-Ar-of-\ q.-i c)- ao 1- `-i 0 Subcontractor Info: Electrical Mechanical N C-A Plumbing ^� QL0L'- Framer[�r1? ctRb Cohskcvx6r1 Roofing SY\�2t1r t Concrete �St\ 1 tt7�c� 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. Applicant Signahxe����� ��s��� Print Name DO..Y\ bo'c-kmn Phone cl`1D-a.0'-j_ tl©D Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE