HomeMy WebLinkAbout5609 Falling Water Dr - Applications/Single Family New - 01/17/2007BUILDING 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 APPLICATIONAw,
APPLICATION NUMBER DD VOL APPLICATION DATE J� L ` 0
Job Site Address 5661 TS 11,' w Woz-% or Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 370 - Y07-Ci8d40
Last Name /�Ic7L I�O'j ' r 1'W First Name �kt"f Middle L
Street Address 3 3 S3 W t 11/�i 'Q O � r city - l� 111State 60 zip S6SZg
CONTRACTOR INFO: Company Name I�o��.i rl rjL 6,A, 60, Contractor Phone # 126 - ` 07 —O R60
Lic. Holder Name kr,4
/ A jor_14eAl City of Fort Collins License # Supervisor Cert #
Mailing Address 3333 �� / D� City -f�'r4 Ct.ff.45 State Co zip
LEGALINFO: n 1
Subdivision/PUD TcyS.1 LA � 02*u c L Filing #_ �. Lot # 5 Block # Lot Sq Ft 18.5
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 3; I / 3 Total Garage Sq Ft 876
Residential Sq Ft 3,03 Comm'I Sq Ft — # of Stories Bldg Height
�Grght I #Dwelling Units I
1s' Floor Sq Ft 537 2nd Floor Sq Ft 5 7 b Unfinished Bsmt Sq Ft�oc aS Finished Bsmt Sq Ft 0
# of Bedrooms 4 # of Full Baths 3/< Baths /z Baths # of Fireplaces
Air Conditioning: <S� 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 prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
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Water Tap Size 3 Sewer Tap Size Metered or No Temp. Pedestal: Q or No
Type of Heat: ;(Gas ❑ Electric Electric Main Breaker Size (Residential �o1%nly): 7 0 Amp or Less W 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 1 I 337� V-7
Description of Work: �lt.l J �aL+ivt Iw TM
Contact Name & Phone # of JOBSITE SUPERVISOR: ]; a� r.� 1\D(44j 970- S66
Subcontractor Info:
Electrical S&Ir4fjj EjrcKkL
Mechanical f�c1�,c,4S Y
-Plumbing,J
411,
T 4
Framer aDt+N.4 �r
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Roofing UrJiI� K-#.2.Ve,
Concrete
J56_4
Other
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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 Signature / Print Name /�% Phone 970 — Y07-086t]
Distribution: White — Office Yellow — Applicant ink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE