HomeMy WebLinkAbout3506 English Ct - Applications/Addition or Alteration - 09/01/2011F6rt
Cityof ICOMMU NITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Collins 281 N. College Ave. • Fort Colliiss, CO 80522-0580 • Phone: 970-221-6760
Www.fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER !y _ c o `. APPLICATION DATE' 1
Job Site Address 3S�06 Em!�2/i $ G.__(���„�/�' Unit #
PROPERTY OWNER INFO: (All owner information is required — it Is not optional) Phone # '9 %y _ Z.__Z7"6.0 Z-/
Last name co I� First Name /Y Middle -.
Street Address Z4-33 C F, 5 Z' city L' ! Ver";- . State C"O' zip 8 Q6
CONTRACTOR INFO: Company Name_ N /8 Contractor Phone #-__.
Lic Holder Name City of Fort Collins License # _ Supervisor Cert #______
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD _ Filing # Lot # Block # . Lot Sq Ft-
CONSTRUCTION INFO:.. Total Building Sq Ft (not including basement) &4 4 7 Total Garage Sq Ft A
Residential Sq Ft Comm'I Sq Ft # of Stories Zoo- _ Bldg Height_ # Dwelling Units
1a' Floor Sq Ft 2"d Floor Sq Ft V Floor Sq Ft Unfiished Bsmt Sq Ft
Finished. Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/Z Baths # of Fireplaces
Air Conditioning: es No Energy info:( Cirple appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 0. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size I Sewer Tap Site . _ _ Metered Yes r No Temp. Pedestal Yes or No
Type of Heat: _:, Gas Q Electric Electric Main Breaker Size (Residential only) • . 450 Amp or Less 0 260 Amp ❑ Other
Value of Construction (including labor, material & profit) $ to
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor_ Info:
Electrical _ - Mechanical
Framer _. _ _ Roofing Concrete
Plumbing
Fireplace
Solar Other Other Other _.__
Applicanfi 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 ordinanceo_and state laws regulating building construction.
Applicant Signature _ R- .1-1QZ. . - r c Print Name . Le4_ `-d14,V Phone .27-7 - GO?j
Distribution: White - Offce Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE