HomeMy WebLinkAbout4057 Kingsley Ct - Applications/Single Family New - 02/12/2003Cityof Fort Collins
BUILDING PERNIITs & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last First Middle
Bartran Construction, Inc.
d
c Street Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. City State
2656 Paddington Road Fort Collins CO
Company Name License Number Supervisor & Ceri
o same C1-54 Dan Bartran
W Mailing Address
P.O. Box 270855
C.3 Phone
970-204-1700
Fort Collins CO
4057 Kingsley Court
ail English Ranch,South, PUD
i
Filing Number Lot
Block
3 2
Building Square Footage
Number of Stories
0
1364
1
Number of Dwelling Units
Num�� o2Bedroc
Stock Plan Number/Options
Radon
/A
Y / NX
RD. AVE.
6237 sf
Phone
970-204-1700
Zip Code
80525
#640
Zip Code
80527
Zip Code
80525
Building 17,
eight
1364/ 0
Air Sealing
d 3/4" 4" Yes
Type of Heat: Electric Main Breaker Size (Residential Only) Temporary Electric Pedestal Requested:
N Gas ❑ Electric M 150 amp or less ❑ 200 amp ❑ other (31 Yes ❑ No
' 0 (including labor, material, profit) $ XXSX10XXXV@ 130,914.64
Description of Work:
New Single Family
Job Contact Name & Phone #: Dan Bartran 204-1700
Subcontractor Names:
Electrical Freedom Electric Mechanical Poudre VAlley Air Plumbing Kahar
Framer Johnston Quality BuildersRoofing Independent Concrete Kiefer
II 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.
.a I Signat�
C
Print Name Daniel K. Bartran Phone204-1700 (B) 420-1701 (M)
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE