HomeMy WebLinkAbout4331 Pearlgate Ct - Applications/Addition or Alteration - 06/21/2007City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
EO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 l �'
www.fcgov.com/building
BUILDING PERMIT APPLICATION�S,g3
APPLICATION NUMBER I / 0 q ,,J 06l APPLICATION DATE `l I �( I I
Job Site Address !43s/ Mao, Unit # '-- 2
PROPERTY O R INFO: (All owner information is required is not optional) Phone # 3�7' �� 3
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Last Name First Name Atel Middle —
Street Address c itv1J1111, 4,q StatZipt
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CONTRACTOR Company Na Contractor Phone # �% v 9Lie. Holder Name ✓ City of Fort Collins License # Z Supervisor Cert # Mailing Address City State Zip Gf
LEGAL INFO:
Subdivision/PUD 1,11n,1A
Filing # Lot # Block #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: da;7 No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths Y2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
Water Tap Size Sewer Tap Size
List appropriate option #s
B n 4
(...
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Metered: Yes or No
Te p. Pedestal:
Yes or
No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential opl& ❑ 150 Amp or Less
Value of Construction (includi g labor, material & profit)
S$
�� l an r� r
Darrintinn of Wnrk' � ZI""� '� .:�T sl I""l/'1.� N-
❑ 200 Amp ❑ Other
Contact Name & Phone # of JOBSITE SUPERVISOR: V 1_�_Ihl Y<
Subcontractor
\V_
Electrical Mechanical Plumbing
Framer oofing99 Concrete Other
Applicant: I hereby acknow dge that I ave r d this a plication and state that th ve information s correct and agree to comply with all requirements
contained herein and Ci Fort Coll' s ordi ces and state laws regulating buil g cons coon.
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Applicant Signature Print Name"A iii I r Phone
Di ution: White — Office Yellow —Applicant Pink — W rib/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE