HomeMy WebLinkAbout6020 HUNTINGTON HILLS DR - APPLICATIONS - 5/18/2007a«rz BUILDING PERMITS & INSPECTIONS DIVISION
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 r)[J� APPLICATION DATE O
Job Site Address UOZo i{ ytj-j �}t,6 14s. D e. Unit #
PROPERTY OWNER INFO: (All owner information is required- it is not optional) Phone #
Last Name t �'"oywn e. First Name I ` Middle f /�
Street Address O ZA i�l/ Cityt``-i' cd '✓LS State
Zip
CONTRACTOR INFO: Company Name "'11/�itrYi� M UfS Contractor Phone
Lic. Holder Name P W i�,M - e-1—K4,ve City of Fort Collins
11 License # �Z 30 Supervisor Cert #
Mailing Address 7i L � 5j- City l —7 State Cd Zip -Z
LEGAL INFO:
Subdivision/PUD a `�(0I3
Filing # � Lot # � Block # Lot Sq Ft _
CONSTRUCTION INFO: Total Buil ng Sq Ft (not including basement)
Residential Sq Ft
151 Floor Sq Ft
Comm'I Sq
2nd Floor Sq Ft
# of Bedrooms # of Full Baths
Air Conditioning: Yes No
# of Stories
Total Garage Sq Ft
Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
'/, Baths /Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential nly): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
Description
CA �k (., AN e e ^ \\ 'Aa.ti.b 1-J.—\ 'i A -1 J I— I
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Contact Name & Phone # of JOBSITE SUPERVISOR: Ceps ret ovt W -1 A el S-LG — 3 y 3 g
Subcontractor Info: A Electrical K 3C��r�} r� ` Mechanical /V I A- Plumbing _I/ I A
Framer %, W by Al—Leer-5 Roofing m &— Concrete Of k{' & 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 F Collins ordinance and state laws regulating building construction. Applicant Signature Print Name �L �/�J'hone �I 7Z - DOL)
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE