HomeMy WebLinkAbout2000 Pacific Ct - Applications/Addition or Alteration - 09/21/2009BUILDING 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 ��ql�D APPLICATION DATE
Job Site Address acl op V aC iA C. C-T, Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # qo.) -aio- 3Yy5'
Last Name Ck0'V'CV First Name a".\.kn Middle
Street Address a 000 POLc i �r C rr __►►,,.. city �o�.{- ��� i v�S StateCozip 305'. 8
CONTRACTOR INFO: Company Name'' �vs �11ok5\� wh A- Rewle�� w, Contractor Phone # 970— (o31- 9 0 3 1
Lic. Holder Name �ovw.ev.� F, City of Fort Collins License # b�_ Supervisor Cert #OI
Mailing Address q0 ts. Sv�t+�5`ov.t Qr- City . V - Lll[j"s State CO zip &5.1.J
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I 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:
2nd Floor Sq Ft
Block # Lot Sq Ft.
Total Garage Sq Ft
_ # of Stories Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths '/< Baths '/2 Baths # of Fireplaces
14)
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
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) $ 3,000,01
Contact Name & Phone # of JOBSITE SUPERVISOR: RoLu W,e t'1��e�rA.� c1-70—(ol- q 03 L
Subcontractor Info:
Electrical _'C& n tfp E(82(%o, L Mechanical V!, PC, 4 � nPlumbing 1
1� Framer avt lewf',yjC %ptk 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 Fort Collins ordinan s a d state laws regulating building construction. II
Applicant Signature Print Name w,.6,r,�l C. tt w,ie LK Phone 970-631- C103 1
11
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE