HomeMy WebLinkAbout1421 Sheep Creek Ct - Applications/Addition or Alteration - 12/08/2017City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
1�, (BUILDING PERMIT APPLICATION
APPLICATION NUMBER V 1 1 v v� v APPLICATION DATE 'a t I ` 1-1
Job Site Add
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # �� -� I ('-��
Last name ?IQJY'it'e A/ First Name /j Middle /J
Street Address � ��}���/� jL City \ State zip
CONTRACTOR INFO: Company Name �Vi'sa ►' �n Su L D Contractor Phone
Lic Holder Name i�UF City of Fort Collins�License #_ Supervisor Cent #r
Mailing Address 5- 4— d—mty E _ State_ zip AJ
LEGAL INFO:
Subdivision/PUD Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2"d Floor Sq Ft
3'd Floor Sq Ft
# of Bedrooms # of Full Baths '/. Baths
Unfiished Bsmt Sq Ft _
% 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
Value of Construction (including labor, material & profit) $ bA I Z'0 , 00p
Framer Roofing 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 of F rt Co in ordinances and state laws regulating building construction.
Applicant Signature Print Name "/ Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE