HomeMy WebLinkAbout7433 Triangle Dr - Applications/Deck - 08/11/2009BUILDING PERMITS & INSPECTIONS DIVISION
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P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
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City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER f0qC)4-7ge
APPLICATION DATE
Job Site Address -7 y3 -3 T; Q„u l.0 Q-. For-4- Cola:?s, co go,-�z.i Unit #-
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name G-Gur; q First Name air/ Middle
Street Address / City State Zip
CONTRACTOR INFO: L JCompany Name Guf-. O. �ns4f"c i-o.: Contractor Phone #622 )_,S K6 - //'/3
Lic. Holder Name L-aur,'c City of Fort Collins License # Z ' ll0 Supervisor Cert #
Mailing Address 71133 %r`iGna/e pr, � City i �0//1'n S State GO Zip �OSZ
LEGAL INFO: (� a
Subdivision/PUD J\ I GtwCod # -//S Filing # 13
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Lot # 16161 Block # Lot Sq
Total Garage Sq Ft
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Full Baths 3/4 Baths '/z Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option #s
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)) $ =475 5, 0'07- 55
Description of Work: -�-l'/n e 4:� � . ✓(/2%W. -
Contact Name & Phone # of JOBSITE SUPERVISOR: Cam. u,-N (Cf-70, .53W - /6 / 3
Subcontractor Info:
Electrical Mechanical
Plumbing
Framer Roofing Concrete Other
Applicant: 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 Fo lins or 'nances and state laws regulating building construction.
Applicant Signature Print Name/4dfe4d /—/
-ar4 r, ^ Phone C70) 5;16- //K3
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE