HomeMy WebLinkAbout3820 Cosmos Ln - Applications/Single Family New - 12/24/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.COM/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER &0 � ff�y APPLICATION DATE a —c:;> �&,
Job Site Address ?"Kj n \An bS h � Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # —700 -Sc( S- I 10
Last Name First Name (" Middle
Street Address kr VV 54 -,—J f'( �. a� City eta State Zip 6INQ
CONTRACTOR INFO: Company Name 60L.w\P Contractor Phone #
Lic. Holder Name :152NAA t�l\\1 N-\ City of Fort Collins License # A Supervisor Cert # IgCo-
Mailing Address
LEGAL INFO
City State
Subdivision/PUD li\��ou� V�V3D\ - Filing # ��' Lo�t_#_3t;- � s_ Block # — Lot Sq Ft �
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)_ Total Total Garage Sq Ft
Residential Sq Ft �1 1 Comm'I Sq Ftt _ / V 1 1'1 # of Stories_ �t Bldg Heigh_ # Dwelling Units
1st Floor Sq Ft tO 0 G'"1 2nd Floor Sq Ft�%— Unfinished Bsmt Sq Ft_A , \1� Finished Bsmt Sq Ft
# of Bedrooms _ A # of Full Baths c� '/< Baths Y2 Baths I # of Fireplaces
Air Conditioning: es No Energy- 7cle 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
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
II
Water Tap Size 31II Sewer Tap Size .� Meter : Ye or No Temp. Pedesta . Ye or No
Type of Heat: �❑ Electric Electric Main Breaker Size (Residential only): Z1-+59ArW or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $�
Description of Work: in -Au � _ � I A 3' CQ l QaIT
Contact Name & Phone # of JOBSITE SUPERVISOR: ! oy�-& ��1�� -Z� l l - "1u)Lt
Subcontractor Info:
Electrical 5)L�-6y\k Mechanical \"""t l''�`` \Sm�Dy\ -�\ VILt��,t� Plumbing�'(�.. ,
Framerp'({�`as�bJ� �h�• Roofing �A�NL]kIJ� i5.lf'BR71Concrete� AAAM -C� Otherh4AA-1 (:j, OLfQ..
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 Fo li ances and state laws regulating buildin construction.
�e�. /�• co0� , _fir.
Applicant Signature Print Name Phone ��D' O-L�
istribution: White — Office Yellow —Applicant k — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE