HomeMy WebLinkAbout2121 Mainsail Dr - Applications/Single Family New - 10/31/2005yr n BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
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APPLICATION NUMBER APPLICATION DATE]f7+:���j
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Job Site Address QM IUnit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # ?Juli)
Last Name First Name Middle
Street Address City State_or�__Zip
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CONTRACTOR INFO: Company Name Contractor Phone #1,\ �m_
Lic. Holder NameU Ott Fort Collins License # Supervisor Cert #
Mailing Address City tate_ Zip C_X�_
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block #1_ Lot Sq Ft
CONSTntia
TRUCTION INFO: Total Building Sq Ft (not in basement) Total Garage Sq Ft
I itF — omm'f Sq Ft # of StoriesBid Height # Dwellin Units
1st Fl2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms.. _ # of Full Baths _ % Baths 'V Baths # of Fireplaces
Air Conditioning: es No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. -Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s `GT1 0
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UTILITIES INFO:
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Water Tap Size Sewer Tap Size_ Metered'' Yes or No Temp. Pedestal: eQ or No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Res e ttial only): X150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material &
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: V v
Electrical Mechanical umbing
Framer ® Roofing one e
er
Applicant: I hereby acknowledge that I have read this application an s ate that the above information is correct and agree to comply with all equirements
contained herein and City of Fort Collins ordinances and state laws rd ulating building construction.
Applicant Sign ture Print Name L Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE