HomeMy WebLinkAbout2301 Sunleaf Ct - Applications/Shed - 02/05/2015City of COMMUNITY 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
APPLICATION NUMBER v APPLICATION DATE 'S "l,�
Job Site Address c�'501—jU1l)LDiF COURT Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not
optional) Phone
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Last name N cv ? ^ 9 �n �FFirst /N+ame�" '1 A O / I (� / I t Middle
Street Address �3O f �uIy IfA C ov� City rr•CULL.-u Statej�b—Zip 9005-25-
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq Ft
15' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
Contractor Phone #_
City of Fort Collins License #
City
Supervisor Cert #.
State Zip,
Filing # Lot # Block # Lot Sq Ft
,ent) Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 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
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Value of Construction (including labor, material & profit) $G/D
Description of Work: � Se o/y
Contact Name & Phone # of JOBSITE
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
RVISOR: '1�7sjt= L117
b �Lo.
Mechanical
Concrete _
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge t t I h e d this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fo o lin o ce d state laws regulating building coGGnstruction.
Applicant Signature Print NamePhone
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Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE