HomeMy WebLinkAbout907 SAILORS REEF - APPLICATIONS - 12/21/2009BUILDING PERMITS & INSPECTIONS DIVISION
Z PO Box S80 FortCollms CO 80522-0580 Phone 221-6760
www fcgov com/buildmg
GtvofFortColhns BUILDING PERMIT APPLICATION
APPLICATION NUMBER t I v? 0 1 APPLICATION DATE IL�)- I ,;L-I (d-"" 9
Job Sde Address q 0`l Sat to rs Unit #
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # S2 -7 3
Last Name 17-L 14 b1 I First Name �L�Ar✓�9�Y� Middle
Street Address G 07 -5; A I I ri a:�i®
�7 U�OE City 1 t , 6n&4-4 v-6 State_ (fa_Zip
CONTRACTOR INFO Company Name IV A9, �1--1-Contractor Phone # (�7 :�(g 1
Uc Holder Name A pT oy,,)'� C /HJA z -n / City of Fort Collins License # - 4p Supervisor Cart # ZR 46-y
Mailing Address /Lj % y CAT AI-pA 6-T City Fr. f'-o1a,1.,Z_ State Gy Zip
LEGALINIF
Subdivision/PUD /i✓i4(Z(L�"�/ �� `' Filing # %� Lot # o Block # Lot Sq Ft
Total Building Sq Ft Ina including basement)
Residential Sq Ft
Ist Floor Sq Ft
# of Bedrooms
Air Condihoning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO.
Total Garage Sq Ft
Comm I Sq Ft # of Stones Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Full Baths % Baths % Baths # of Fireplaces
Energy info (Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
4 E-Star wBlower Door 5 Prescriptive w/Au Sealing 6 Prescriptive w/Blower Door
List appropriate option #s
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) $
Description of Work
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info. ))
Electrical nn liJ/4 Mechanical /U/4 Plumbing A
Framer Roofing A2 Concrete Other
Applicant I hereby acknowledge the h e read th a I thon and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort i o inances ate laws regulating building construction /
Applicant Signature Print Name AjQ ')N' �AI �' Phone �)06�'- r ��
Di buhon White — Office Yellow — Applicant Pink — W W W/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE