HomeMy WebLinkAbout2709 Saddle Creek Dr - Applications - 05/04/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last
First
Middle Phone
a�
c
09 Z.
CDStreet
Address Please Specify: LN. DR. CR. WY. PL. ST. IT RD. AVE.
City State Zip Code
Compa y Name
License Number
Supervisor & Cert. #
L
O
cc
Mail n Address
/.,
Cit
�v
State ZipCode
'E
gqjl �4�&/_
5
Phone
Please
Specify: LN D CR.
WY PL, ST IT, RD, AVE. Zip Code
1:
11'
Subdivision/PUD
Ca
o�
Filing Numbe
Lot Block
Lot Area
Building Square Footage
Number of Stories
Building Height
c
0
LNumber
of Dwelling Units
Number of Bedrooms/Bathrooms Unfi�nishea/Finished Basement So. Ft.
C5
Stock Plan Number/Options
Radon
Energy Score/E-Star/Air Sealing/Blower Door
Y/
Water Tap Size
Sewer Tap Size
�� Metered
y
d
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
150 amp or less 11200 amp ❑ other
Rf Yes ❑ No
1 1 1 � /inr h-dinn lahnr matorial nrnfitl t
7 //A / a / e ^
Job Contact Name & Phone #:
7Vam%,,/
ames:L7
Electrical ) Mechanical Plumbing
Framer4WDlYMZ.A�ing �/n�j,� - 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 cont ' d heaand3,,'ty ordi and state laws regulating building construction.
R
-a Signature
a
Print Name Phone 63-<—ql Qi7tA--
or
Di tribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE