HomeMy WebLinkAbout7507 Blue Water Ct - Applications/Garage - 07/13/2018City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
,rBUILDING PERMIT APPLICAy,TION
APPLICATION NUMBER l7 � G 0 (16 7 l� APPLICATION DATE � 0 I � /
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Job Site
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # r� 7r% •- ZO - $�/
Last name Vsm "x First Name !/////,1911,JMiddle LAN✓ ' S
Street Address // , ile City //,fn/ State,!!!�, Zip_
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Add
LEGAL INFO:
Contractor Phone
City of Fort Collins License # Supervisor Cart #
City
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft /0/14�p
Residential Sq Ft Comm] Sq
151 Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2n° Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/z Baths # of Fireplaces
Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
Water Tap Size Sewer Tap Size
List appropriate option
Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: vas ❑ Electric Electric Main Breaker Sizzee� (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) 0�
Description of
r
Contact Name & Phone # of JOBSITE SUPERVISOR: �J
Subcontractor Info: 9i J o
Electrical Mechanical
Framer
Solar
km, A , ) ", �; ,
Plumbing
Roofing Concrete
Other Other
Fireplace
Other
Applicant: I hereby acknowledge that I have read thisapplication and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collins o eTc nd sta ws regulating building co�nsstrructio J
Applicant Signature Print Name (/(/. &`! /'L��j• •/� Phone V it g
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE