HomeMy WebLinkAbout5950 Swift Ct - Applications/Single Family New - 03/08/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
MOORE www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 7O 4 / `� APPLICATION DATE 3-2-0-7
Job Site Address s`956 �,' 9U(f T-C--"1Unit #
PROPERTYOWNER INFO: (All owner information is required - it is not optional)
Last Name(dLOR4d C(15 'Y� l`l M U First Name
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Phone # 976 —ln7Vi+ o2no
Middle
Street Address 126 /FS Ft 51 S✓I Tjc 11 City WINO$O P,
p Stated`Zip ACL
CONTRACTOR INFO: Company Name I�Ot6gad (wSI-JA AWE5 Contractor Phone # 110" 674- 0Z.00
Lic. Holder Name 46-N Vic- fW77LLt City of Fort, Collins License #-�n/+�Supervisor Cert # _
Mailing Address i-mq K. A5 4. e .. rSUtl'E -r- City U1/1 A�%/SS�I� State �-U Zip W05S-Z?
LEGAL INFO:
Subdivision/PUD SW/Er ftblPN fiSSIL/ 45nling # Lot # 65- Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) «� Total Garage Sq Ft
Residential Sq Ft 7016 Comm'I Sq Ft # of Stories_ j- Bldg Height_A # Dwelling Units
1st Floor Sq Ft Z%G 2nd Floor Sq Ft Unfinished Bsmt Sq Ft 5-30 Finished Bsmt Sq Ft _16P !
# of Bedrooms _ # of Full Baths _ '/< Baths /2 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.-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
u /I �
Water Tap Size' Sewer Tap Size_ Metered: Yes r No Temp. Pedestal: Yes r No
Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less x200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 2-Z-0 dam. G/
Description of Work: Ngw S'/A4/�►AmLL i ll-y O 670*65 6C0S
�7�Si q n scwr s Sav i'
Contact Name & Phone # of JOBSITE SUPERVISOR: 'Ave /MYAIA" -/ 0 2 t l - f U0
Subcontractor Info: n
Electrical 3RE3 QZZ Aje-- Mechanical Bk�Hle1j Plumbing �A°f V01
Framer/a" Ao&QD [ 1774 oofing /�dLQ s Concrete s 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 Signature rt` Print Name &404 /A YAllffW Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE