HomeMy WebLinkAbout1011 Sabatino Ln - Applications/Single Family New - 07/31/2014City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fegov.com/building
BUILDING PERMIT APPLICATION IL4X
APPLICATION NUMBER I I O �1 APPLICATION DATE I r I 1
Job Site Address /mil �g,6�2�k LaKe— Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # /ZC/ b gc2
Last name /T1ke.7l1- First Name slz2k P1 / Middle %f
Street Address State�Zip OS3 Cit y,i
CONTRACTOR INFO: Company Name (M/A r*Aet�Contractor Phone # %�,d%-- el �31
Lic Holder
Mailing Add
LEGAL INFO:
City of Fort Collins License Supervisor Cert #,99��z
eCity IMS State _ Zip e t5),Sf®
Subdivision/PUD 23j` L/`� e[ -e, Filing # _/����g1Lot j# g4g' 7' Block # Lot Sq Ft 3 ,9 %
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) -74C�T T`1 Total Garage Sq Ft ✓7 70
01
Residential Sq Ft — Comm'I Sq Ft # of Stories_ Bldg Height /fig K! # Dwelling Units
ls' Floor Sq Ft `—"A? 2ntl Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms, # of Full Baths ;2— 3/. Baths '/2 Baths # of Fireplaces
Air Conditioning No Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Bllow/er Door SSimulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size yt4e 4,
Sewer Tap Size 3;4T Metere . Yes r No Temp. Pedestal Yes o No
Type of Heat: ZKas ❑ Electric Electric Main Breaker Size (Residential only) R<0 Amp or Less ❑ 200 Amp []Other
om/ TT
Value of Construction (including labor, material & profit) $ .t.�k 1 /
of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: 7 1d- -13.7—
Subcontractor Info: /
Electrical %{�l/L�(,C Mechanical G��Ti� ti� /�7� Plumbing Gins
Framer / ti Roofing e �Oza Concrete Fireplace
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 o�F.'Coilins ordinances and state laws regulating building construction.�'��///%��/�,/pApplicant SignaturePrint Name �� ! ' � lkI Q Phone 176J: fO- iC1
le —
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE