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HomeMy WebLinkAbout506 Spinnaker Ln - Applications/Addition or Alteration - 12/08/2009BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building Vlr-)4 City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER_ mo'1 i15�- APPLICATION DATE It-f * /Omq Job Site Address.�t)ffirl n & L-X1 Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone k9q0zca(D6-o Last NameLl tom, First Namel CiV 1 ` Middle ��y�' Street Addresses �05Qv�ro-u"'- ! Y\ City Cd�l,"�S State c'p Zip C C5Z5 CONTRACTOR INFO: Company Name Contractor Phone # Lic. Holder Name Mailing Address LEGAL INFO: Subdivision/PUD City of Fort Collins License # City Filing # Lot # CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Supervisor Cert #. State Zip Block # Lot Sq Ft Total Garage Sq Ft Residential Sq Ft 1 lC�omm'I Sq Ft (� # of Stories Bldg Height # Dwelling Units 1st Floor Sq Ft !2Z`2nd Floor Sq Ft 1 � Unfinished Bsmt Sq Ft I (0 Finished Bsmt Sq Ft )lD # of Bedrooms # of Full Baths % Baths '/2 Baths 2 # of Fireplaces Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Energy info: (Circle appropriate choice) 1. ComCheck 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing Water Tap Size Sewer Tap Size List appropriate option #s, Metered: Yes or No 2. ResCheck w/Air Sealing 6. Prescriptive w/Blower Door Temp. Pedestal: Yes or No Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only)CK50 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ ! Doc' > of Work: Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: s111111111101 Electrical _ Mechanical Aiwt cpnHir' Plumbing -CAC Framer 6q Roofing IV�� Concrete 4. Other56SIOUA.L 4 1' 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 Signature L Print Nameg IC�IOXCJ keAt�A Phone � ©?°Ib Distribution: UNhite - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE