HomeMy WebLinkAbout626 ATWOOD CT - APPLICATIONS - 4/4/2007BUILDING PERMITS & INSPECTIONS DIVISION
a 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 APPLICATION DATE
Job Site Address
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PROPERTY OWNER INFO:
(All owner information is required — it i not optional) Phone #A4
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Last Name
First Name Middle
Street Address
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City N
State Zip
CONTRACTOR INFO:
Company Name
Contractor Phone #
Lic. Holder Name
City of Fort Collins License #
Supervisor Cert #
Mailing Address
City State
Zip
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block #
Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1720 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft
# of Stories Bldg Height
# Dwelling Units
+�
1st Floor Sq Ft 1730
2nd Floor Sq Ft
Unfinished Bsmt Sq FtZo 4
Finished Bsmt Sq Ft
# of Bedrooms .3
# of. Full Baths
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
4. E-Star w/Blower Door
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 Qncluding labor, material & profit) $
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
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 oaAl
an s and state laws regulating building construction
Applicant Signature Print Name Phone
Distribution: . White — Office Yellow —Applicant Pink — WWW/Stormw ter
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE