HomeMy WebLinkAbout2632 Arancia Dr - Applications/Addition or Alteration - 05/24/2006BUILDING 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 `' v APPLICATION DATE
Job Site Address 6 oZ �A (tip aA � i4�G Unit #jj
PROPERTY OWNER
�INFO: r(All owner information is required - it is not optional) Phone # C1-s/ QZ-
Last Name First Name 0c y Middle
Street Address ,1p3,:;L /'trayxCl c yb[ d'f-- City a u ►O r State Zip O
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CONTRACTOR INFO: Company Name � (,�Wt�(/A„ (�� tr�r�t?r�+j Contractor Phone #-70) 0 Z--0/ tl
Lic. Holder N
City of Fort Collins License #
Mailing Address QstJy B-/yd / '/UC City &''`'I&j
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LEGAL INFO:
Subdivision/PUD zeae_ �(%J! Filing #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Supervisor Cert #.
State_
Lot # -2- Block # Lo
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height_
1st Floor Sq Ft / 6 2nd Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes NO
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
Total Garage Sq Ft
# Dwelling Units
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths '/2 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 i
List appropriate option #s
UTILITIES INFO:
Water Tap Size ',- Sewer Tap Size N�/� Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: as ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
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Value of Construction (including labor, material &profit) $
Description of Work: I to .. & b-'1V' e-i.'j d- /x fr o /'d7PvL rim-c�d cye
ce .ry e. rJ.
a'T�li i-%ch t r&i r //e/ iOCh _ D ✓l0e.ram.. ".. .,
Contact Name & Phone # of JOBSITE SUPERVISOR: 61 "— m6—cl- � ?7d - Z f p_ ZKY--
Subcontractor Info: !/
Electrical �aL- 4U%L C. Mechanical /1%sl it Plumbing
Framer
Roofing
Roofing
Concrete
Oth
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 building construction.
Applicant Applicant Signature E�-�^ Print Name /a `� ca✓H-Li/ Phone 1770, —2- el-�T �f—
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE