HomeMy WebLinkAbout2606 Red Mountain Ct - Applications/Shed - 07/18/2011City of CollinsCOMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt iI s 281 N. College Ave. • Fort Collins,, CO 80522-6580 • Phone: 870-221.6760
wwW.fCgov.com/bu11lding
BUILDING PERMIT APPLICATI N
APPLICATION NUMBER -J d - APPLICATION DATE._ � -
Job Site Address. - di_to10_( R&_ M.ovr+la►h - Ct Unit #
PROPERTY O�W^N_ ER INFO: (All owner information is.required -it is not optional) Phone #
Last name ___ :1'LGIi d a t First Name ee ut..e ii�Middle
Street Address. _ 0.VVAN 4: }- gU� 2 a LD ie __ R�_ G'F city 6iV1S StatesZip : S
CONTRACTOR INFO: Company Name Contractor Phone
Lic Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address ___ ___ _ _ _ City State Zip
LEGAL INFO:
Subdivision/PUVIOL— At ,,t__ ________ Filing# Lot # Block Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) _ Total Garage Sq Ft
Residential Sq Ft a tC Comm'I Sq Ft # of Stories_ __ _ Bldg Height. # Dwelling Units
161-Floor Sq Ft. 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft.
Finished Bsmt Sq Ft # of Bedrooms -_ # of Full Baths _ % Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door(
City of Fort Collins Stock Plan # List appropriate option #s 1
UTILITIES INFO:
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) $ ��_ - S .
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: V.e li: ri In i
Subcontractor Info:
Electrical _ __ .__ __ _____. Mechanical Plumbing
Framer M N Sc t Roofing n fit to Concrete _K,4 st I Fireplace
Solar _ Other - -_ - - _ - Other - — ._ - _ Other
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to com I with all requirements
contained herein and City of Fort Collins ordinances.and state laws regulating building construction.
Applicant Signature--ZL Print Name G e"A- � ltiG I-Ot / Vt • Phone —70 7
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE