HomeMy WebLinkAbout2802 Outrigger Way - Applications - 11/25/2002BUILDING PERM TS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 22"134
BUILDING PERMIT APPLICATION
Last First Middle Phone
jL__►� C, 4-0
Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE. City State Zip Code
CD
2 ,-f c, i If L.,_.) P --t-: E '�' ZC�CJ t;?- *L E-t-L Co 270 L 3 -
N
,"Li
Company Name License Number Supervisor Cert. #
[&'
I J
Mailing Address City State Zip Code
L
M
iii2-2_�O]
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
1' 'Z?.OZ c.:,vTfZRVC.���Z.
is
Subdivision/PUD
V7 -t C...P-c A-YZ-tt� S L.A ►
a
o
CM
CD
Filing Number i Lot I , S Block Lot Area .�
Building Square Footage Number of Stories Building Height
o
2- Z _3 cY ►, ram '
Number of Dwelling Units Number of Bedrooms/Bathrooms finisheWfinished Basement Sq. R.
Plan Number/Options( Radw Energy Score/E-Star/Air Sealing/Blower Door
CAStock
i 3 11� t " T , Ito Y /( j B C- ck-z- „--42-. ioo C-) i2
N
Water Tap Size L-1Sewer Tap Size Metered
d
Type of Heat:
E�ectric Main Breaker Size (Residential Only)
V150
Te porary Electric Pedestal Requested:
OPGas ❑ Electric
amp or less ❑ 200 amp ❑ other
Yes ❑ No
OW11210IM1181110MIR
(including labor, material, profit) $ r b ~i 5 _Z
Description of Work:
Job Contact Name & Phone #:
Subcontractor Names:
Electrical S E- L-F CT rl-A C- Mechanical A c rL- P(2-C 0--u(—T '�b Plumbing 0 tq-T ri-4
Framer
D -�- R F-aA rn ► i" C-, Roofing LFtfPP6U L-L- 6C- +z-D Concrete 3 2 (—
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.
aSignature � ` c_ , i ry C �V\ C,- . LS1
a
Print Name t-`�t-'� P `Maw `-` Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE