HomeMy WebLinkAbout1912 Sandalwood Ln - Applications/Addition or Alteration - 04/29/2006BUILDING PERMITS & INSPECTIONS DIVISION
k P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/buildingp1I
Citv of Fort Collins BUILDING PERMIT APPLICATION -
APPLICATION NUMBER M1D APPLICATION DATE
—A 6 q 10
Job Site Address 10112, S & & d 12 ) -/V < Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name fla,Q 1
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First Name Oe
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Street Address I
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CONTRACTOR INFO:
Company Name (mod&
�tlt�QnJ Contractor Phone # S�(�'�'�/ -W/
Lic. Holder Name :Sajeap
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City of Fort Collins License #
' 2-35 Supervisor Certt #
Mailing Address O
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City it J �Q l f �/V�
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State CO Zip 6 �J~� T
LEGAL INFO:/
Subdivision/PUD / iI� 11 t�'�i'CCN I '9r1 �l giling #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq Ft # of Stories.
15t Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Lot #_ Block # Lot Sq Ft
Total Garage Sq Ft
Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths '/< Baths '/z Baths # of Fireplaces _
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
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ )Si610.OD
of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: S �� `,34U
Subcontractor Info: (��
Electrical �i�/j�j/[fJ,�l �''[ /' Y/ Cle.S Mechanical
Framer
Roofing
Concrete
Plumbing C e5
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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 ity of Fort Collins ordinances and state laws regulating building construction. (� />
Applicant Signature int Name /'{te$ /may\ Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE