HomeMy WebLinkAbout1418 HIWAN CT - APPLICATIONS - 9/22/2006BUILDING PERMITS & INSPECTIONS DIVISION
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P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER____B APPLICATION DATE
Job Site Address /41- 04A, 4- Unit #,,rr� /
PROPERTY OWNER INFO: (All owner information is required - it is not optional) // Phone #
Last Name_, r i,�.c_ First Name21(4Gr W l�inGlG�. Middle
Street Address/¢� Q��G (�.^ City
CONTRACTOR INFO: Company Name aGYNBt c � rLOA,/� Contractor Phone #
Lic. Holder Name R rc_cwn��-D�/ City of Fort Collins License #
Mailing Address
LEGAL INFO:
State(Zip
J7D gO (o 2-
Supervisor Cert #
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft # of Stories
City
Total Garage Sq Ft
Bldg Height # Dwelling Units
1St Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft� Finished Bsmt Sq Ft yd
# of Bedrooms # of Full Baths t/ 3/, Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door \
Water Tap Size Sewer Tap Size
List appropriate option #s
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: l�-r,s�,, t Sr-
_9iYD01 C4 A4 A1a 41r i s
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical /�/>'C� Mechanically y��-Oy+ �+ Plumbing,,L
Framer Roofing Concrete 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 Fort Collins ordinanc s and state laws regulating building construction.
01,
Applicant Signature Print Name L Phone
Distributio White — Office Yellow — Applicant Pink — WWW/St mwater
THIS AP (CATION EXPIRES 90 DAYS FROM APPLICATION DATE