HomeMy WebLinkAbout3518 Oak Hill Ct - Applications/Addition or Alteration - 02/12/2008BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-67606
6 www.fcgov.com/building
CityofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER �—K 1V 341 APPLICATION DATE (22- Ilaloy
Job Site Address ' 2 63 e-!)-AK Ii LL, CT-- Unit #Q �'
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PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # -/ 70""�3"J®C90
Last Name— �J--rlt�'_(Z� i First Name t'li_ Middle .
Street Address C ,; )1 t-1 t `� -C-i City F-7—j CWLk 1^4 State_efL)_Zip f305
CONTRACTORINFO:
Lic. Holder
Mailing Address
LEGAL INFO:
Company Name rnwt,,# !2 Contractor Phone #_
City of Fort Collins License #
Subdivision/PUD Filing #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes
3. ResCheck w/Blower Door
2nd Floor Sq Ft
# of Full Baths
Supervisor Cert #
State Zip
Lot #_ Block # Lot Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
% Baths /Z Baths # of Fireplaces
No 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 #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size(Residentialonly): ❑ 150 Amp or Less 11200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ n!
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Other
Applicant: I hereby acknowled I h is application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit Fo i ord'na s and state laws regulating building construction.
Applicant Signature Print Name Phone (a'Ut3��GrT�
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE