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HomeMy WebLinkAbout7000 Brittany Dr - Applications/Single Family New - 03/02/2007City of Fort Collins BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 I (� www.fcgov.com/building BUILDING PERMIT APPLICATIO *'a 5'' 03 APPLICATION NUMBER D A � ,� , , •� 7eifA ka 6NAICATION DATE �/Q ag it I Job Site Address 7600 9rhr ffaA-Y Uri I,--& Unit# PROPERTY OWNER INFO: (All owner information is required - it hiss not optional) Phone # f 70)/��/ 1' d /O Last Name% cDO /✓a l a' First Name /L @ V) mot/ Middle G/ d W a I" d Street Address 44 /f Sao.t•Pc, CrPL-K DI^ Citlot x-5 StateCo CJ zipg,S02S CONTRACTOR INFO: Company Name 1/1110Nt E o U- i✓E r Contractor Phone # Lic. Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address City. State LEGALINFO: (j / Subdivision/PUD_ % /"o `I y C e tD lyV // Filing # Q Lot # T Block # Lot Sq Ft w2 j 5b/ 3 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) / Total Garage Sq Ft L Residential Sq Ft 67/91? Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units ls' Floor Sq Ft / 2nd Floor Sq Ft Unfinished Bsmt Sq Ft /; 5 Finished Bsmt Sq Ft # of Bedrooms 3 # of Full Baths % Baths /3 Baths # of Fireplaces / Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door GE -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: Water Tap Size �� Sewer Tap Size Metered: es r No Temp. Pedestal: (0or No Type of Heat: YGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less X200 Amp ❑ Other Value of Construction (including labor, material & profit) $ 7 y� D�Q • ©O h Contact Name & Phone # of JOBSITE SUPERVISOR: /` IIFDO,,4-4 /0/ C a l� .l / 3 / Subcontractor FIInfo:✓ Electrical ^P P JCM E l&c j--yC Mechanical 11 M �l oc, D v, !✓� Y bmbing g Pi✓C A--m-a r K 1 / - � he' y arc � FramerUQ n.C� 1-// �% l� f oofing �Q-I-f�rs /�40 �^ ,s�oncrete""k rti P> i �Q'� r�Othe ilPYA-t�l Co4-Co Applicant: I hereby acknowledge that I have read this application and state that the above information is corr ct and agree to comply with ali requirements contained herein and City of Fort Collins ordinances and state laws r ulating building construction. Applicant Signature rt�, _ ,/` 0 Print Name/�E'CIJocLry Id Phone b J 1 Distribution: White - Office Yellow - Applicant Pink - W WW/Stormwater Fak-X - S 8- t O THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE