HomeMy WebLinkAbout717 Snowy Plain Rd - Applications/Single Family New - 02/07/2013BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box580 • Fort Collins, CO80522.0580 • Phone:221-6760
www.fcgov.com/building
ityofF,i_ BUILDING PERMIT APPLICATION
APPLICATION NUMBERc./O APPLICATION DATE 2-I"7I 1 ✓
Job Site Address f/ f �N�GLI� df_,4fAj Unit #
PROPERTY OWNER INFO: (All owner information Is required - It Is not optional) Phone #_ 303- �{•��,- i �t�
Last Name 7-6r, -i�tJ,LJE. �t First Name I Di3 1 Middle ^?
Street Address_ 2� L_ . j I�71 _ �%�I VE )City I�z`�TiUlaJ5T62 State Gv Zip Abtj?_3r-
CONTRACTOR INFO: Company Name CJf}l 066 e_7� �/{,( c> Contractor Phone # 720- �0( - 13 a,�5
Lic. Holder Name Mi kE Cswl� j T-a City of Fort Collins License # iJ � Supervisor Can # %�
Mailing Address fi %�0„ Y"dri� 35�®� tCity (,t�dS�/tKFFa2 State
LEGAL INFO•
Subdivision/PUD 1�-a W /JC6 rrWA)L Filing #4_ Lot #_ Block # Lot Sq Ft'7z_e�
CONSTRUCTION INFO: Total Building Sq Ft (not inciuding basement) ) (pZS Total Garage Sq Ft 64 j
Residential Sq Ft i 7- Comm'I Sq Ft 14 A # of Stories_(_ Bldg Height Z"P �' 5 3/4H# Dwelling Units )
16t Floor Sq Ft 1(,97.Jr 2^d Floor Sq Ft N /A. s Unfinished Bsmt Sq Ft_ Finished Bsmt Sq Ft -j/4
)f Bedrooms Z # of Full Baths 7, 3/. Baths NIA %: Baths N/%I # 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 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # ) S a7 List a rt
ppropriate option #s UTILITIES INFO'
Water Tap Size 3 Sewer Tap Size Metered: 0 or No Temp. Pedestal: (D or No
Type of Heat: E(Gas ❑ Electric Electric Main Breaker Size (Residential only): 19150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material &°profit) $_ Z004 1¢17. 14y
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: K46TZ 72-0 392 Ll
Vt I
Subcontractor Info:
Electrical -(_Mechanical"r/hlt)6'9- /(�G�fj}-yt/(�+ L r Plumbing bT1, /�%LELrT-L.U/l{f3/nl�
Frames ��17 i"lDl(00. I^ Roofing A�V.T _jz0oF1AlC/ ConcreteT1 c` r' `
rk�) Other
I
pllcant: I hereby acknowledge that I -read this application and state that the above information Is correct and agree to comply with all requirements
,ntalned herein and City of F ns ordinances and state laws regulating building construction.
Applicant Signature Print Name /_ 0/4 FI P -Au e- Phone 30 • 47z" /35z
Distribution: White -Offce Yellow -Applicant Pink - iWWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE