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HomeMy WebLinkAbout2281 Trestle Rd - Applications/Single Family New - 05/04/20061, T BUILDING PERMITS & INSPECTIONS DIVISION. P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building Ci of Fort Collins BUILDING PERMIT APPLICATION #a 4"` APPLICATION NUMBER �� / c APPLICATION DATE Job Site Address L_ PROPERTY OWNER INFO: (All owner information is required - it is not optional) 1119 W Phone # Last Name �(�L ���,5 First Name Middle Street Addressa q fq rk C-11 � % City600-L' r�r State6 0 zip I llr3 a CONTRACTOR INFO: Company Name Contractor Phone # Lic. Holder Name r fil �nnL G City of Fort Collins License Su/pervisor Cert # Mailing Address Sc� �,1 S f./ e City State // Zip / LEGAL INFO: j Subdivision/PUD l Filing # Lot # Block #A— Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 75 `s� Total Garage/ Sq Ft Residential Sq Ft -�� Comm'I Sq Ft # of Stories— Bldg Height c�z_�c # Dwelling Units 15t Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft't- Finished Bsmt Sq Ft # of Bedrooms_�� # of Full Baths ar ` 3/< Baths '/z Baths _ # of Fireplaces Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing rescriptive w/Blower Door City of Fort Collins Stock Plan # / 00 — List appropriate option #s_ / Y�/� C UTILITIES INFO: Water Tap Size Sewer Tap Size Metered: Desor No Temp. Pedestal: (9 r No Type of Heat: KGas ❑ Electric Electric Main Breaker Size (Residential only): V'150 Amp or Less ❑ 20000 Amp ❑ Other Value of Construction (including labor, material & profit) $ Description of Work: Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical CC I S ? Q 1) SC4 Y16bfechanical C- a`- o m Tn d Plumbing Framer C © 60 0 _ Roofing :1 I C d Concrete IT�r Applicant: I hereby acknowledge that I haver d this application and state that the above information is correct and agree to comply with all requirements contained herein and C' y of Fort Collins ordin ces and st to laws regulating building construction. ( / Applicant Signature Print Name �0 r YT Phone Distribution: hite — Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE