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HomeMy WebLinkAbout1209 Bateleur Ln - Applications/Single Family New - 03/23/2006BUILDING 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 APPLICATION NUMBER %l' l l APPLICATION DATE 3 - c;� 3 Q" Job Site Address /%2p 9 804e-%P'j,r a„P Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional)] Phone # Last NameyI ell First Name OSP,O '1 Middle ja/"AC- Street Addressyjj &C44L G?r k &n�Ve City F�� C011 rl State__eb _Zip VOS,2g CONTRACTOR INFO: Company Name ^jXJZ S©/,` I140 eST L C: Contractor Phone # 7 70 - 4 PLO - 3 Y 7 7 Lic. Holder Name — LQWph V,Np City of Fort Collins License # Supervisor Cert # Mailing Address SgMp q�� d(nn�/,e� City State Zip LEGAL INFO: w� Subdivision/PUD Ht�nr#i� 1', r-c- Filing #_ �t Lot # Lit./_ Block # — Lot Sq Ft_ 1 % 0 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 02QQZ Total Garage Sq Ft :767 Residential Sq Ft 411W Comm'I Sq Ft # of Stories_ Bldg Height aa, & # Dwelling Units 1st Floor Sq Ft �200 ? 2^d Floor Sq Ft -- Unfinished Bsmt Sq Ft �oiS Finished Bsmt Sq Ft 17699 # of Bedrooms # of Full Baths % Baths I 'Y2 Baths "— # of Fireplaces Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing �n 3. ResCheck w/Blower Door 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: Wc(+T -Fi`©M Sei.✓tr' 6-bM /3oX�lC�Gr' Water Tap Size :3 Sewer Tap Size Lt „ Metered: Gor No Temp. Pedestal: < Ye or No Type of Heat: ❑ Gas GKIectric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less V200 Amp ❑ Other Value of Construction (including labor, material & profit) $ : Z$0 , 00 O Description of Work: /i/P_,.y c,k Jza 4i !Ij, Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: I + Electrical (PJnL Mechanical _Cowlnqdo Plumbing ka qr Framer Irf i�b��S �vn Roofing ( apkpe".�S Concrete T �$� C 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 lins or 'nances and state laws regulating building construction. Applicant Signature Print Name �_ Phone q7n -Y2,6-3t/7� Distribution: White - Office Yellow - Applicant Pink - WWW/Stnrmwatar THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE