HomeMy WebLinkAbout1106 Paragon Pl - Applications/Addition or Alteration - 01/19/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER
APPLICATION DATE
Job Site Address 1 o 6 eAa.A Goo P LNc r Unit # 1\.11 A-
G4 Q t-tAvr,-
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # Z48 —39 vi &1�3 S-
Last Name tvx')L.f 'y( First Name 2. At`i C sS Middle
Street Address 110G. eAaAGCx'J PLA02- City 1=T-CC7LState C-0 Zip &0LSD
CONTRACTOR INFO: Company Name St c F - C)U-k KjL/AUsLDera Contractor Phone # 2,Ik-M7q /226 S31f-
Lic. Holder Name N1 City of Fort Collins License # NIPOT Supervisor Cert #
Mailing Address OyCi tG16CAJ PU. City rT C0LL=*J1 State CO Zip SZ-S^
LEGAL INFO:
Subdivision/PUD PA/ )ew Filing # 3 Lot #_% Block # Lot Sq Ft 96-76,
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) a 1 Total Garage Sq Ft 670 N
Residential Sq Ft 0 1 � Comml Sq Ft� # of Stories Bldg Height 2-4 1 # Dwelling Units t P
1st Floor Sq Ft _ 010 2nd Floor Sq Ft (TTTTC9(D(� Unfinished Bsmt Sq Ft C1 O Finished Bsmt Sq Ft LO'U 0
# of Bedrooms S:- # of Full Baths 3 3/4 Baths V '/2 Baths I # of Fireplaces
Air Conditioning: es 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 #
UTILITIES INFO:
List appropriate option #s
a
Water Tap Size .3/4 t Sewer Tap Size y Metered: es or No Temp. Pedestal: Yes or o
Type of Heat: )10 Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less 4 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
arts
Contact Name &Phone # of JOBSITE SUPERVISOR: i3U V__)WLf y 9 2It
Subcontractor Info:
Electrical Sf LA- Mechanical Plumbing 2J) A
Framer Sf L P Roofing Cn4 L�F Concrete Sf C_F Other Sic F
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 or i ances and state laws regulating building construction.
Applicant Signature �— 7�(i p Print Name 2t S 14, - (50(4 i/ Phone Z/A- 39Z9
Distribution: White — e Yellow — Applicant Pink — WWWIStormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE