Loading...
HomeMy WebLinkAbout739 Stonington Ln - Applications - 03/08/2004BUILDING PERMITS & INSPECTIONS DivisION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134 BUILDING PERMIT APPLICATION Iasi First c Street Addresr Please Specify: LN. DR. CR. WY. PL. ST. CT. RD, AVE. i; Q (I loz fmI n'An r Middle Phone 'So, City State Zip Co Company Name Lice se Number Supervisor & Cert. # R Mailing Address City State Zip Code c Cj Phone 1: Please Specify: LN. DR. CR. � 39 Lin WY. PL. ST. CT RD. AVE. Zip Code to Subdivision/Prp C fu=d V �� Of U_ �C °; Filing NumbQ,r� ��7 BIg4c Lot �e / o5 Building qua a Footage Number of Stories Building Height g LNumber of Dwelling Units I Number o rooms/Bathrooms /Finished Basement Sq. Ft. �, Stock Pla Number/Options �4oi a,�c % y Radon Y / ® aiQ@ Energy Score/ St rr/�Aiirr Se�ling/Blower Door / co LD =- Water Size Size Sewer Tap Size ~ Metered Type of Heat: Gas ❑Electric EI ctric Main Breaker Size (Residential Only) � Tem orary Electric Pedestal Requested: 150 amp or less ❑ 200 amp ❑ other Yes ❑ No c =T1.1Ito] uMRuerajigggeg■ (mcivaing labor, material, profit) © +_ oto-1- Description of Work. F� (A) -� rn'l. *x/O ocpccole wo. t0 opt . its' w( � I � �� h ��C .fir m S Job Contact Name & Phone #: Subcontractor Names - Electrical i�}A'* N ��� iC, Mechanical Z�b y1 , � Plumbing'Au4 I�rnb► Framer K-+L n (r " ,,� ,, 1' , L1.1Y1 I I�q Roofing �C�d 1''�CX�CJN Concrete p 3 P0UV�I 1(:�'A A14 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. R aSignature�t a Print Name _ �� �� Phone .303 - ¢GG -lell Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE I