HomeMy WebLinkAbout2809 Annelise Way - Applications/Single Family New - 04/07/2006APPLICATION NUMB
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION
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Job Site Address � (�1 f n nel/ sc bu_)_ Unit #
PROPERTY WNER INFO: (All owner information is required - it is not optional) Phone
Last Name I 10j)j irst Name MiddlE
Street Address 1 ( Q0 Cit--a0molov-
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Lic. Holder N
Mailing Address,
Contractor Phone #
City of Fort Collins License .#,
City_
LEGAL INFO:
�aySubdivision/PUD MS S Filing # Lot #
CONSTRUCTION � I O�
INFO•
State_Zip
Supervisor Cert # 1 2S -61
Zip
Total Budding Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories ( Bldg Height V #Dwelling Units
1st Floor Sq Ft2 1 02- 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
,Z._ `
# of Bedrooms # of Full Baths s/4 Baths '/2 Baths # of Fireplaces 1
Air Conditioning: Yes No a info: (Circle a propriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
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3. ResCheck w/Blower Door 4. w/Blower o0 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # WE List appropriate option #s _ �jQ
UTILITIES INFO:
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Water Tap Size` Sewer Tap Size Metered .9 or No Temp. Pedestal.-Q or No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only): 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Constructio ' cluding labor, material & profi $ Z
Description of Work: LJI�' 1 �i I V L_ L-F /U / hV� 1 `1.(A vin , rr-{+t1► e n
Subcontractor- Info: R-014Q.-I
Electrical Mechanical L�JI� Plumbing
Framer Roofing rx Concretetfie�
Applicant: I hereby acknowledge that I ave read this application and state that the above information is correct and agree to comply with all requirements
contained herei a of Fort Collins o ces and state laws regulating building construction.
Applicant Signature AJ Print Nam� + Phone d
Distributio . White — Office Yellow —Applicant Pink — WWW/Stormwater t v
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE