HomeMy WebLinkAbout6820 Ivy Glenn Way - Applications/Single Family New - 07/31/2003l!00
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City of Fort Collins
BUILDING PERMITS SIC INSPEcnoNS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
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BUILDING PERMIT APPLICATION �, _7
Last
First Middle
Phone
303 32-3 i l 33
c
Street Address Please Specify: LN. DR.
CR. WY PL. ST CT RD. AVE. City
State Zip Code
51)?S 5 Qc>EBCc.
S 3Oo cenSre:&3MiAL c-o
861(
Company Name
License Number
Supervisor & Cert. #
87
2,05o
Mailing Address
City State
Zip Code
C-)
Phone
3c� -3Z 3 13 3
Please Specify.
LN. DR. CR. WY. PL.
ST CT. RD. AVE. Zip Code
'
468ZC)
IVY G ,NN w ,
Su ivision/PUD
o,
aV 1NG o�JI�E
Fil ng Number Lot
Block L
Area
2
Building Square Footage
Number of Stories
Building Height
f � Z, 6
L
3d' MAX
Number of Dwelling Units
Number of Bedrooms/Bathrooms
Unfinished/Finished Basement Sq. Ft.
VJ
AjA
Stock Pla tuber s
Radon
Energy Score/E-Star/Air Sealing/Blower Door
i 34S / -7
Y 6>
$LOLiCK 1:)Ocel
Tap Size
Sewer Tap Size
Metered
CAWater
Type of Heat:
Electric
Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
)311�150 amp or less ❑ 200 amp ❑other
Yes ❑ No
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1 1 1 linr_ludinn lahnr maforial nrnfifl 4 •., .id-, an
Description of Work:
-;�ZAO 4 22.5, 1I46
I . s CAP, GAP-A6E.
P-LEv.
Job Contact Name & Phone #:
kgAle,
Subcontractor Names:
Electrical s,7 FLt=CG"rp jC Mechanical 'poL)bstE VALLf-y Plumbing :Pgo )byrhgU.No
Framer SAKOTA Byft_S8giS Roofing c r,%pgr_JL BMgj> Concrete �oo�SoAl
a
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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 '�,'C,—,,,j G` M cTt—LSZ�
Print Name
Phone 30 , 3 Z3 ( I 3
-71
0
\.J
R-hsh.
I.
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE