HomeMy WebLinkAbout2318 Tanglewood Dr - Applications/Addition or Alteration - 09/17/2008City of Fort Collins
APPLICATION NUMB
BUILDING PERMITS & INSPECTIONS DIVISION
PO Box 580 Fort Collins, CO 80522-0580 Phone 221 6760
www fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION DATE / / -/ v
Job Site Address 2 I A vN fir, Unit # /
PROPERTY OWNER (INFO (All owner information is required - it is no tional) Phone # ��� ' �/in03 Z (0 b 7 8
Last Name 1 _JG �� First Name V Ps i_ 1, Middle
Street Address z �) �,qi.)� �r (,Jba� �(� City �� (fn I I ✓NS State 6d Zip O U57'S—
CONTRACTOR INFO Company Name S C.L- r
Lic Holder Name
Mailing Address
LEGAL INFO
Subdivision/PUD
Contractor Phone #
City of Fort Collins License #
City
State
Filing # / 4-t Lot # ZZI Block #
Supervisor Cert #
Zip
Lot Sq Ft 1 / 1, 000
CONSTRUCTION INFO Total Budding Sq Ft (not including basement) 71C)C) GU rr-& -R, Total Garage Sq Ft
Residential Sq Ft 7 to h'C Comm I Sq Ft # of Stones Bldg Height # Dwelling Units
15t Floor Sq Ft
# of Bedrooms
Air Conditioning Yes 49
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths '/2 Baths # of Fireplaces
Energy info (Circle appropnate 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 \ `
ti
Metered Yes or No Temp Pedestal Yes or No�
Type of Heat XGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less `,0:200 Amp ❑ Other
Value of Construction (including labor material & profit) $-I��C �/� -1
Description of Work t=►�0�1 E E x i S-Ft n� � Af � goof /h �� 2` \j S-Vc7rY t.1-1 IiL\
-iv 6-./ . Ri\Trt iA "p. ���2Qo►�
Contact Name & Phone # of JOBSITE SUPERVISOR —FOy"\- 1316o 1 �3 0 59 4) 373 3
Subcontractor Info
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
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 ordinances and state laws regulating budding construction Q
% � �a Iof �e-,, Phone q�Z C%7S'
Applicant Signature Print Name
Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE