HomeMy WebLinkAbout2846 Rigden Pkwy - Applications/Single Family New - 11/27/2007City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
EO. Box 580 • Fort Collins, CO 80522-0%0 • Phone: 221-6760
www.fcgov conVbuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER` 1 ) ` APPLICATION DATE O -7
•b Site AddressI \ .\ Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
NE
Last Name t - 1 G�R� OIF, First Name -P&No, Middle 17
Street Address 51 D 91"A)IR 2r, City FT 6O LI _ I N 5 State_ o—zip 6252A
CONTRACTOR INFO: Company Name Yam►! p 1�4-U912f- LLb Contractor Phone # 111b
Lic. Holder NamepAi`ip J.City of Fort CollinsLicense # G,Z' Supervisor Cert�j#
Mailing Address `5�� T 1 �u=JlprG City (/oU .I t4S State_ Zip W 62:4
LEGALINFO:
Subdivision/PUD RWDEN L.bC'i5 l� l�iTlLtR.1 E fling # Lot #-5--- Block # Lot Sq Ft 2 J
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft f!A
Residential Sq Ftj 19 -4 Comml Sq Ft # of Stories `^ �� Bldg Height 3A # Dwelling Units
e� 3it0 FLO+SO-
jS.F.
tsr Floor Sq Ft --10D 2^d Floor Sq Ft Ot� Unfinished Bsmt Sq Ft� Finished Bsmt Sq Ft C)
# of Bedrooms J # of Full Baths % Baths '/s Baths # of Fireplaces C
Air Conditioning: Yes 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 prescriptive w/Blower Door
it
City of Fort Collins Stock Plan # Pt1IDITl',List appropriate option #s
UTILf11ES INFO• 7T�T t� �•
3 It
Water Tap Size �4 Sewer Tap Size_ Metered: es or No - / Temp. Pedestal: Yes r No
Type of Heat: HI Gas ❑ Electric Electric Main Breaker Size (Residential only): M 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Constructionn((including labor, material & profit) $ 1445,fq 1
Description of Work: !' l W j� F" � ,{ 7 I v r �_ T I-KI E H b M E-I /�-:T "-ED
,?72gi�i�ot
Contact Name & Phone # of JOBSITE SUPERVISOR: " b '1 2 - 2 22 - 53
Subcontractor Info:
Electrical 61AWWkCIl-1�-- Mechanical &AHEM Got. �,W— Plumbing (�QS
Framer 6Am- Roofing T�.?-"Tuw Concrete?-R.. Other
Applicant: I hereby ack wl dge that I have read this plication and state that the above information is correct and agree to comply with all requirements
contained herein and of itCollins rdina s an state laws regulating building construction.
Applicant Signature Print Name:P�A �VD -s Phone Ilq7
O' �2-7.' 7634
D-bution: White - Office Yellow - Applicant Pink - VW W /Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE