HomeMy WebLinkAbout1812 Suffolk Ct - Applications/Shed - 03/01/2007BUILDING PERMITS & INSPECTIONS DIVISION
EO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER K �/ �O I ! S /S APPLICATION DATE S----f — O 7
Job Site Address a1z 5t"AIA r'tx.(� SOS1& Unit# %l1A
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone # 0/90 - 2155� -G Oy0
Last Name l_ pogs l- First Name 45;7601." Middle /Gryn
Street Address / of Z Sti Alk 6c"A cistate zip dBSZG
CONTRACTOR INFO: Company 'Namee %t,� � Skcj Joe- Contractor Phone # 30 - 399' - W 3 3
Lic. Holder Name T,d Shoo( Znc 1 , City of Fort Collins License # 02 -30/ Supervisor Cart # 11129
Mailing Address Zion Crtra[_ S> G City 4200,U-r- State cc) zip 570216
LEGALINFO:
Subdivision/PUD 10131 Filing #�_ Lot # / (7I Block #__L&_ Lot Sq Ft 1413341
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft goo
Residential Sq Ft 6— Comml Sq Ft�_ # of Stories Bldg Height_[ # Dwelling Units_
is' Floor Sq Ft 2CJ0 2nd Floor Sq Ft �_ Unfinished Bsmt Sq Fta Finished Bsmt Sq Ft 0
# of Bedrooms # of Full Baths _� I/. Baths Zr 'h Baths _(2%' # 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 # t" b4t List appropriate option #s A /#
UTILITIES INFO: Water Tap Size n /.4 Sewer T/ap Size A `I
10 Metered: Yes or Go)Temp. Pedestal: Yes or Now 1�000
Type of Heat: 0 Gas ❑ Electric 11 Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp 0 Other /I
, ..
Value of Construction (including labor,
material & profit) $_
DascriotioncifWork' Ttda ShJ C ID I A 20
Contact Name & Phone # of JOBSITE SUPERVISOR: , �6" n Conker
Subcontractor Into:
Electrical f�4rr insa^
Framer Roofing
Mechanical
Concrete
Plumbing
Other
Applicant: 1 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 ordinanoesjod state laws regulating building construction.
Applicant Signature Print Name 67af,' �'�St Phone 920- Z/-C G:04/0
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
`,R