HomeMy WebLinkAbout2120 Falcon Dr - Applications/Accessory or Secondary Building - 11/16/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION.113 I
APPLICATION NUMBER o o a APPLICATION DATE Oq
Job Site Address C;2 / a v
0-d4,LIN-s Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # % % 6 - 2, - �1 �70
Last Name - JO 1,1- - (� '
First Name /`/ �' � �( SC-' Middle /
Street Address o�i�C) �LCOA/ Imo, City 0/cr C6L(-)NS StateC� —.Zip �Sa�
CONTRACTOR INFO: Company Name 1`A'�h �O L�1 Contractor Phone #
Lic. Holder Name City of Fort
Collins License # Supervisor Cart # —
Mailing Address o7 / ;) U J4L, Co nl (. City - -51 r�T 0 o r- /rV S State (ID, Zip FOS--;�%
LEGAL INFO:
Subdivision/PUD Filing #i.-?'7'4Q,2ZLot # Block # Lot Sq Ft J �f°RES
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq
1s' Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 3/. Baths /z 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
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
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Value of Construction (including labor, material & profit) $ jl�, 6 6 0.
Description of Work: ;��;xl z^plri Ct- 01.C= 1314AA . 3..!Z X ;? % � S�
.J
c•=� m
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
/-2 Electrical 1,811V ��CG LC Mechanical Plumbing / � /I L L./.)2p Pl�y kllryN6
Framer SC,L'-7- Roofing Sa L- - Concrete St✓ L-?- 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 glances ances and state laws regulating building construction.
Applicant Signature Print Name / 10Wtf Phone (770 '1447U
Di ' utio hite - Office Yellow - Applicant Pink - WWW/Stor water
T IS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE