HomeMy WebLinkAbout1044 Trading Post Rd - Applications/Single Family New - 04/04/2007FOBUILDING PERMITS & INSPECTIONS IVISIOON'/3`/Ga- ;-
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE a
Job Site Address /� gIT�P.ft_ /T�o��t` ���C! Unit #
PROPERTY OWNER INFO: "(All owner information is required - it is not optional) Phone #
Last Name ld.6 51,�'(G(t BIV Z 41&ame Middle 9
Street Address 2J.• A0 337 �1 City %'pL� l�1 y�State Zip Ol%i3�
CONTRACTOR INFO: ompanyfName
/ AIA gyre 4aUetIY54 7 Z1, ontractor Phone #
Lic. Holder Name ��9 q7��,L j City of Fort Collins License # 5S0A Supervisor Cert #0� 9
Mailing Address k /, )kz4 City State_ Zip &250
LEGAL INFO: �c0 1 p ry
Subdivision/PUD (�Ct Qi� Filing # Lot #� Block #--7-Lot Sq FtA4
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft 44d
Residential Sq Ft /.3 Comm'I Sq Ft� # of Stories l �'2 Bldg Height / r'o #Dwelling Units t4'hp/
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft 11gq Finished Bsmt Sq Ft
# of Bedrooms 3 # of Full Baths % Baths _r '/2 Baths �_ # of Fireplaces
Air Conditioning:(9 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 # List appropriate option #s
UTILITIES INFO:
Water Tap Size 3�' d Y+)
— Sewer Tap Size Metereor No / Temp. Pedest�or No
Type of Heat: I�'Gas ❑ Electric Electric Main Breaker Size (Residential only): i 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 'all', /c
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:-7OWAG1 T/,1 11-41 170 _�' C? 7 / -
Subcontractor Info:
/ill%' /VIE _i EA/ • • /
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 F Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name 4-aW4 Jle�z Phone�� - 15y/-q15
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE