HomeMy WebLinkAbout5615 Falling Water Dr - Applications/Single Family New - 03/13/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
66 www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER & /�� ! APPLICATION DATE
Job Site Address 5615 FA1-Ut-46 W ATTLu- Dim Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name 6AANy, First Name
Phone
Middle
Street Address 2 City State Zip
CONTRACTOR INFO: Company Name UROi.&WAZT (ZNSTRuL.T 101�1 Contractor Phone # Z7-9-q(0.4,(p
Lic. Holder Name City of Fort Collins License # C-2-$ Supervisor Cart # (QkQ
Mailing Address 3Soo DOMAVt AyW- City LoNVLvaNP State CA Zip gC"S37
LEGAL INFO:
Subdivision/PUD F-ot6u- l_A1r.- -POD Filing # Z Lot # 4 Block # Z. Lot Sq Ft S'
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Zi so Total Garage Sq Ft (03-7
Residential Sq Ft ZW Comm'I Sq Ft§_ # of Stories Z Bldg Height Z r 1 g #Dwelling Units
ls' Floor Sq Ft 155(Q 2nd Floor Sq Ft 1, 313 Unfinished Bsmt Sq Ft 1,464 Finished Bsmt Sq Ft
# of Bedrooms A # of Full Baths % Baths 7. /3 Baths _ # of Fireplaces �_e/J
Air Conditioning: No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing *' ,
3. ResCheck w/Blower Door 4. E-Star w/Blower Doo 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door V
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO: ,,��
Water Tap Size aa7� Sewer Tap Size Metered: es or No Temp. Pedestal: ®e or No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less *00 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 3ai9SQ
Description of Work: N F.vAl FAMI L,,�,(
Contact Name & Phone # of JOBSITE SUPERVISOR: KEN vwias �
Subcontractor Info: /�
Electrical 11�Mechanical 6%Z5CN Plumbing �-s
Framer KvRT-Tl pz.0.Ar0N Roofing Goo Concrete Y AlR(3K'S Other
44en�
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requireme
contained herein and City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name KF%F.1 1'ZQM itAZ\ Phone SWI—Rq j
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE