HomeMy WebLinkAbout7110 Diamond Tail Dr - Applications/Single Family New - 02/24/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt`Collins 281 WCollege Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
�Y `� www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER / / (/ CJ ! V APPLICATION DATE
Job Site Address � d 6d..y"O. ®f W j /�i^/ l/� Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name First Name Middle
Street Address City
State Zip.
CONTRACTOR INFO:: Company Nameey �i0®'14el_irio-CA /�" Contractor Phone # 0!!�xG 7"c--*450/e-T
Lic Holder Name City of Fort Collins License # 67l'' Supervisor Cert #
Mailing Address /'?e®- X" A11S City State 4�47 Zip
LEGAL INFO: ��j -
Subdivision/PUD ge! !/ y/f�i &e �h��Filing # Lot # 45Z Block # Lot Sq Ft ZZ, 7O4f
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 296 7 Total Garage Sq Ft 6
Residential Sq Ft Comm'I Sq Ft # of Stories 4Z Bldg Height �� # Dwelling Units
B
151 Floor Sq Ft 20 i
Finished Bsmt Sq Ft
21d Floor Sq Ft
# of Bedrooms # of Full Baths
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft AV-3
/ 3/4 Baths 12 '/z Baths ® # of Fireplaces
Air Conditioning: Ye 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 Dooms
City of Fort Collins Stock Plan # /" List appropriate option #s O
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered:(O or No Temp. Pedestal r No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less X200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description of Work: e!�4?w-5llwe—y �!�l.CJ /��✓Cl�/��
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical -451Mechanical ��� /Plumbing _Aya�®s�
Framer 1���� Roofing ����� Concrete .��/ /��� Firepla&"--e0e
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 ordinances and state laws regulating building construction. �/
Applicant Signature a:0 a.G Print Name�� �� ��5 Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE