HomeMy WebLinkAbout3027 Morab Ct - Applications/Single Family New - 07/19/2005BUILDING 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 _V 2 11 /�� APPLICATION DATE /
Job Site Address3w_7 DDeAj QT Unit
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PROPERTY OWNER INFO: (All owner information i required - it is not optional) Phone �J�-(/''AO(P—I OoI
Last Name , "� \� ' 1 , V(jl �f i�st Dame Middle
Street AddressC61 cityASbfflA*A/_ State 02 Zip
CONTRACTOR I ((: Company Name M U. LAX IUVV-Eontractor Phone #
Lic. Holder Name Flu)C ewnlACity of Fort Collins License # Supervisor Cert #
Mailing Ad
LEGAL INFO:
City.
State Zip
Subdivision/PUD E � ' 03 VXC& Filing # Lot 43Qa Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Gara a Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories 1 Bldg Height 4 y� # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ftt 9 L4 D Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths �1� % Baths '/2 Baths # of Fireplaces 1
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door F4=w/Blower Door 5. Prescriptive w/Air Sealing �6. Prescriptive
w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO: lh l��
Water Tap Size �) 1 "i Sewer Tap Size 4 Metered: G
or No Temp. Pedestal: Qor No
Type of Heat: C�Gas�❑ Electric Electric Main Breaker Size (Residential only): 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description o, :h 13
f�ork. 1 � W -�J
�W—MA-0M
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 ordin cee�Cil�ls and state laws regulating building construction.. �J7
Applicant Si atur Print Namtit&,_ Phone
istribution: ite — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FRQM APPLICATION DATE