HomeMy WebLinkAbout1439 CATALPA CT - APPLICATIONS - 12/27/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
66 www.fcgov.com/building
City of Fort BUILDING PERMIT APPLICATION
APPLICATION NUMBER / APPLICATION DATE
Job Site Address 1113 9 C a4 -.,1,, Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 1170 V K2- ,f 3 / Z;
Last Name 1- /n f SC', First Name •rwMiddle 4(3
Street Address / y%'7 y P> /�• G f City Cam. rc ��/h _S State Z� z" Zip
CONTRACTOR INFO: Company Name /iWN t� 2 /3 U II- V Contractor Phone #
Lie. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address_
LEGAL INFO:
Subdivision/PUD
City
State
Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1�t Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft / �3
# of Full Baths % Baths /] Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residentjal only
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Temp. Pedestal: Yes or No
❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ r — I j
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: ,L A /:3 2 y. (,.C/ 1*4 7,5 d /1 /
'VI-1
Subcontractor Info: 0 /9, /Z / c
Lr_Ta/� I Electrical H/G N /�C_ /f n/E ,5 Mechanical / v b Al Z Plumbing S L /2 f/Z G L`'_
Framer i (P Al / Goofing 6/0 rV A; Concrete N d A/ G Other NO A/ 1'
Applicant: I hereby acl nowledge 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 ordinances and state laws regulating building construction.
Applicant Signature Print Name (ird f✓< ft ar Phone
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE