HomeMy WebLinkAbout1208 Catalpa Pl - Applications/Single Family New - 11/09/2009BUILDING PERMITS & INSPECTIONS DIVISION
t, P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER L509 D 11 `Cif— APPLICATION DATE
Job Site Address 120� GATA��A 1�.. Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Zo(I
Last Name 8AR I i-lAT/ CDI)1ST First Name Middle
Street Address % I�S kA i A%- Zyxl v-�Q. City Fo' 60Z1 AIS State (-t7 Zip �S
CONTRACTOR INFO: Company Name BA�i CdNST Contractor Phone # 2,oy - 170y
Lic. Holder Name Dk,14 &N i I?Ant City of Fort Collins License # Supervisor Cert #
Mailing Address Ro, Z>ok 2%005< City t'pe.t (Ow�yS State (0 Zip E3057-?
LEGAL INFO: i I+F
Subdivision/PUD QQr C,1l6GAA-sN'T A L Filing # Lot # 70 Block # Lot Sq Ft 13 E55 7
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2�OY� Total Garage Sq Ft 64t O
Residential S Ft Comm'I S Ft # of Stories / q 2�(Y� q � Bldg Height Z.3 #Dwelling Units
1st Floor Sq Ft ZIOD 2nd Floor Sq Ft O - Unfinished Bsmt Sq Ft I C(04 Finished Bsmt Sq Ft -- O -
# of Bedrooms -3 # of Full Baths Z % Baths -0 - 'h Baths I # of Fireplaces
Air Conditioning: es No Energy info: (Circle appropriate choice) 1. Con -Check 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # nl/A List appropriate option #s
UTILITIES INFO:
it
Water Tap Size � Sewer Tap Size 4Metered: Yes or No Temp. Pedestal: es or No
Type of Heat: ,q Gas ❑ Electric Electric Main Breaker Size (Residential
only): 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 1) co
Description of Work: MSE -cut[[ ud
Contact Name & Phone # of JOBSITE SUPERVISOR: V CUC L P -ttyl
Subcontractor Info:
Electrical 'T)/L{' Mechanical Plumbing Cc P��� 31�(�
Framer Roofing TA--'b&ar'Z15A-;I Concrete StPGS Other W05-1s" F,
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 ordinances and state laws regulating building construction.
Applicant SignatuPrint Name 1�0 1�a��i�� Phone�S S4�-p'g ;Z
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE