HomeMy WebLinkAbout2842 Edinburgh Ct - Applications/Addition or Alteration - 06/23/2006' n BUILDING PERMITS & INSPECTIONS DIVISION
EO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER [�y UG 0 3 1!y APPLICATION DATE Ip
Job Site Address �KL12 e LrL bu d C.-r Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name First Name 1 J'Ald Middle
Street Address i.&42' ",14Ore,11 If* City ��J 14 State�Zip C3 -TL
CONTRACTOR INFO: Company Name'—�` Contractor Phone #
Lic. Holder Name
Mailing
City of Fort Collins License # Supervisor Cart #
City State Zip
LEGAL INFO:
p �
SubdivisionlPUDo-w{t_ Pt . .-C Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
2esidential Sq Ft
1st F4,or
Sq Ft
# of Bed\w/Ber
Air ConNo
3. ResCoor
City of FPlan #
Block # Lot Sq Ft
Total Garage Sq Ft �1
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
_ # of Full Baths % Baths '% Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing A(�
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
� a
List appropriate option
UTILITIES INFO:
Water Tap Size wer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑Gas ❑ Electri Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Plumbing
Concrete "L Other
Applicant: I hereby acknow that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit of F Collins ordinances and state laws regulating building construction.
/
Applicant Signature Print NameVIC_k 'e,i` l K' C) Phone 2z<�- ci,) i
1 Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater ��6 _ it y 4
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE