HomeMy WebLinkAbout2303 Strawfork Dr - Applications/Single Family New - 08/03/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
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APPLICATION NUMBER F I �T APPLICATION DATE I
Job Site Address aUni]t�# �f �� 'j�l
PROPERTY OWNER INFO: (All owner information is reQuired - it is not optional) Phone # 11 D _ 0g/ -1 1'� V
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Last name ✓7 rs�tQName Middle Q]�
Street Address L v" I City VAUAIiM State Zip
CONTRACTOR INFO
j�: CC�ompan Name W4XtVnniractor Phone # 910 — 07�1 L —1-7 0V
Lic Holder Name City of Fort Collins License # C tj^�5 I Supervisor Cert #
Mailing Address Pll bg Li 065 City tAM/ I State Zip
LEGAL INFO:
Subdivision/PUD (J�X.t ii Filing # ( !, l Lot # 1 Block # 5 Lot Sq Ft lV `
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 0 T Z Total Garage Sq Ft 40
Residential Sq Ft 210 `"f Comm] Sq Ft # of Stories 2_ Bldg Height Lg_ # Dwelling Units
ls' Floor Sq Ft _ q0 2nd Floor Sq Ft t, D` � 31d Floor Sq Ft Unfiished Bsmt Sq Ft R ` I
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/< Baths '/: Baths # of Fireplaces
Air Conditioning: oYeso Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4 im%uullir jatedd Performance Alternative 5. Prescriptive w/ASealing 6. Press�c�rriiptiivve/mow/ Blower Door
City of Fort Collins Stock Plan # t t C1 List appropriate option #s LJ , CO)M W o t t "'/►` _
UTILITIES INFO:
P 3� l i P —1
Water Ta Size Sewer Ta Size
Type of Heat: `6 Gas ❑ Electric Electric Main Breaker
Value of Construction (including labor, material & profit) $
Description of Work:
Metered es r No Temp. Pedestal Gs
r No
u
— r1^ +
only) 29150 Amp or Less ❑ 200 Amp ❑ Other
Contact Name & Phone # of JOBSITE SUPERVISOR: 1 v r /o JlG
Subcontractor Info: ��p, f �� /�
Electrical T► & l.l' V (/�L' J Mechanical 0 I O o�
Framer Of i&_-, Roofing Concrete
Solar ill. Other Other
Plumbing
Other
Applicant: I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit of Fort Collins or ' s and state laws regulating building construction. v
Applicant Signature 1 Print Name z r;& -7 ,�Czs4e-j- Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE