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HomeMy WebLinkAbout1108 Bateleur Ln - Applications/Single Family New - 07/22/2010City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collm 281 N College Ave Fort Collins, CO 80522 0580 Phone 970 221 6760 / N� www fcgov com/budding BUILDING PERMIT APPLICATION APPLICATION NUMBER�APPLICATION DATE Job Site Address ZA"; Unit # PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # 303 - 30e/' Z 21 7 Last name Z rUvf% First Name 0-/igan') Middle L- ZA/A2 Street Address ZZOX— rrion/T Cl-, City 1 2,tn I'a e- C. & S— Statej:�C> Zip CONTRACTOR INFO Company Name �EG/G Contractor Phone # Lic Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address City State Zip LEGAL INFO Subdivision/PUD d?U0 2hAFdmg # Z NLot #--&— Block # Lot Sq Ft CONSTRUCTION INFO Total Budding Sq Ft (not including basement) �'_ Q0.10 Total Garage Sq Ft 53-9 Residential Sq Ft?O 0 Comm I Sq Ft # of Stories_ Bldg Height # Dwelling Units 1 ' Floor Sq Ft 2nd Floor Sq Ft 3 d Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft 2010 # of Bedrooms s' # of Full Baths 3 -/, Baths I Yz Baths # of Fireplaces Air Conditioning /10 No Energy info ( Circle appropriate choice ) 1 ComCheck ?)OResCheck w/Air Sealing 3 ResCheck w/Blower Door 4 Simulated Performance Alternative 6 Prescriptive w/ Blower Door ; City of Fort Collins Stock Plan # List appropriate option #si UTILITIES INFO 1Y Water Tap Size Sewer Tap Size Metered Yes or No Temp Pedestal Yes or Q Type of Heat 140 as ❑ Electric Electric Main Breaker Size (Residential only) 1500 Amp pporor Less y❑^200 Amp ❑ Other Value of Construction (including labor material & profit) $—. /.�` 572, J Ti J Description of Work Xi 16;x/ Contact Name & Phone # of JOBSITE SUPERVISORO�'j L. r✓ y'Y- 3 O 3 3 O y 'ZZ! 7 Subcontractor Info Electnca)(, Mechanical 6,44y F/bOGE� Plumbin Framer Roofin&/ Concrete Fireplace ho 5/?d0e4(W' 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 comply with all requirements contained herein and City of Fort Collins ordilpances and state laws regulating building construction Applicant Signature Print Name SAS0,J L L✓n.i,--- Phone 303 -304 ZZ17 Distribution White - Office Yellow- Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE