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HomeMy WebLinkAbout3321 Snowbrush Ct - Applications/Solar - 08/11/2010City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES �t Collins 281 N College Ave Fort Collins CO 80522 0580 Phone 970 221 6760 wwwfcgovcorn/building 4 v-7 93 BUILDING PERMIT APPLICATION vanchk-Pe6 APPLICATION NUMBER SI OD�`�� APPLICATION DATE Job Site Address 33z1 ,5riDw9f -&'-A C1, Unit #. PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # Last name D r t Q 0 L First Name 3(-0k� Middle Street Address 33Z S"'Un�`-5[k1/ City ref (401I S State (0 ZIP Y0 Z� CONTRACTOR INFO CompanyNameSp��p�cC-� Contractor Phone # 3©3 2� i" 1S-"t% Lic Holder Name`C+j�"T'�Nf-J- �O.iA'i� City of Fort Collins License # L.-1138 Supervisor Certt # y Mailing Address leeA9 ( 43 City 0 State C� Zip M7Z-A LEGALINFO Subdivision/PUD Filing # Lot # CONSTRUCTION INFO Total Building Sq Ft ( t I d s baseme Residential Sq Ft Comm I Sq Floor Sq Ft 2 d Floor Sq Ft Block # Lot Sq Ft Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units 3 d Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths / Baths / 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 # List appropriate option #s 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 labo mate al & p oft) $ , 3, 10 r_ Description of Work a` ")di '23s� fUPo n.� T /rZ %h . or Contact Name & Phone # of JOBSITE SUPERVISOR ),PA", Co fr 303 -�7 Z6 3 1255 Subcontractor Info Electrical Framer Roofing Solar Other Mechanical Concrete Other Plumbing Fireplace Other Applicant I hereby acknowleqgelthat I hav read t l; application and state that the above information is correct and agree to comply with all requirements contained herein and City of Coll ns o nan and state laws regulating buildingconstruction Applicant Signature Print Name /i&, Cacf Phone x3-to*223 —41405— Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE