HomeMy WebLinkAbout3516 Silver Trails Dr - Applications/Solar - 08/11/2010City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�t Collins 281 N College Ave Fort Collins CO 80522 0580 Phone 970 221 6760
www fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER i�>I 00c/ 110 APPLICATION DATE n l l I I a0 ( O
Job Site Address
Unit #
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone #
Last name S_m I _� /k First Name o n al- Middle
Street Address J�� 1C/ �j l✓ef-7ra,45; r �CityState,60 zip
-fq52&
CONTRACTOR INCF,O� ompany Name C Contractor Phone
Lic Holder Name ..(l�i 1644f\01 City of Fort Collins License #Mt- l0q Supervisor Cert # J
Mailing Address 6950 lVyC,02� �� ST City )eqyeG State C 0 Zip
LEGALINFO
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft t t I d 9 b m
Residential Sq Ft Comm I Sq
1 Floor Sq Ft
Finished Bsmt Sq Ft
2 Floor Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3 Floor Sq Ft
# of Bedrooms # of Full Baths
/ Baths
Unfiished Bsmt Sq Ft _
/ Baths # of Fireplaces
Air Conditioning Yes No Energy info ( Circle appropriate choice ) 1 ComCheck 2 ResCheck w/Air Sealing
3 ResCheck w/Blower Door 4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
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) $ 1340
Description of Work ` I IL '
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Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical :!�91,CCL�jCc-_- Mechanical
Framer
Solar
Roofing
Other
23S w P \/ No
303-
Concrete
Other
-ql g S
Plumbing
Fireplace
Other
Appl cant I hereby acknowl a that I have rea this application and state that the above information is correct and agree to comply with all requirements
contained herein and City rt Colli ordin es and state laws regulating building construction
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Applicant Signature Print Name -re a r � Phonw30 I Z — U
Distribution White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE