HomeMy WebLinkAbout915 Elgin Ct - Applications - 08/16/2002BUILDING PERMITS & INSPECTIONS IiTVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
CD
Address Please Spe 'fy: LN. DR. CR. WY. PL. ST. CT RD. AVE. City
State Zip Code
Wry Nam vU� -
L' ense Number
Supervisor & Cert. #
L
Tng Address
t
State
Zip Code
6
Ph e
Please
Specify:
LN. DR. CR. WY. PL.
ST. CT RD. AVE. Zip Code
R
Subdivision/P D
o�
Filing
umber
Lot
Block Lot Area
Buildin S uare Footage _
Number of StoriesAq
Building Hei
L
Number of Dwelling Units
Number of Bedr oms/Bathrooms
Unfinished/Fini Basement Sq. Ft.
VJ
M
Cj
Stock Plan Number/ tions
Rado
Energy Score/E-Star/Air Sealing/Blower Door
d
Water Tap Size),, fi
Sewer Tap Size 11
Metered
Ty
y e o Heat:
Electric Main Breaker Size (Residential Only)
MO
Temporary Electric Pedestal Re ue ted:
q
I '�Kles
❑ Electric
amp
or less ❑ 200 amp ❑ other
❑ No
Itly;aam[IP■ (including labor, material, profit) $ (Q le!,;q a�
Description of Work:
,juu tpuniaut name & rnone #:m
Subcontrafor N mesG n:
Electrical 1,1Y Q, G CAri L, Mechanical
Framer
C
A
C7
a
a
Roofing
.Plumbing
Concrete��
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 ordinances and state laws regulating building construction.
Signature ,�a
Print Name CAS Phone%�
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE