HomeMy WebLinkAbout3308 Buteos Ct - Applications/Single Family New - 05/05/2005a BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER )0 50C o �a APPLICATION DATE 5- \ J — r J 5
Job Site Address 3L +-cos G+-. Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #_ (q7i)5I7 2--9�66
Ll Last Name r"lEg, 77,�j C, First Name Middle
Street Address 320 ( E. ed-a.4 r� �T•r L/rt.T �tQ'city -6r- �KS State GD Zip _
CONTRACTOR INFO: Company Name ,5� 41J-r Contractor Phone # ! 7D) Y7 2- - S 66 i
Lic. Holder Name tf(/Wi City of Fort Collins License # CZ-i 1 Supervisor Cert #
Mailing Address 3Z0� .>�• �YOI !/�t.T ,o City -j 1r- r GY(''Rf State 4::� Zip Z �Zy
LEGAL INFO:
Subdivision/PUD {,ft-A Ft,^e Filing # z— Lot #� Block # Lot Sq Ft I Z307Z �)
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Z OOs Total Garage Sq Ft Z 8'2— \
Residential Sq Ft 2Di0r' Comml Sq Ft # of Stories_ Bldg Height Z # Dwelling Units
15Y Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft 11 Z mil_ Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths Z % Baths 1 M2 Baths # of Fireplaces _M
Air Conditioning: No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing " J
3. ResCheck w/Blower Door 4. E-Star w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door`
List appropriate option #s
e it
Water Tap Size 3— Sewer Tap Size Metered:1:,1' or No Temp. Pedestal: or No
Type of Heat: Xbas ❑ Electric Electric Main Breaker Size (Residential only):;K*'l 50 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $' �Z1.3,0, 5-3f/z{. $
Description of Work: 14 CS If FA tKf�i'ELD P"
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: p /-
Electrical Co lw .'G Mechanical �P/'{ $ . Plumbing 4tq
Sramer --61� Roofing DO R Ri104-11 9 Concrete V41,GKG1OL Other
VApplicant: 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 of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name 41 �fl :::!:1Z — la!51 Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE