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HomeMy WebLinkAbout3317 MOORE LN - APPLICATIONS - 1/24/2008BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER PA� 00 4f / � APPLICATION DATE � � � � — 01 Job Site Address 7>3\-7 L.�^--- F1—� Unit # PROPERTY OWNER INFO: (All owner information is required - it is noptional) Phone # _ 2,0 - o�ot to $ y - -1 2-6Last Name 7,ep\V%.", T First Name Joyv� Middle A Street Address 33 11 /h OD f'e— r�1111 - b City w �K S State Zip CONTRACTOR INFO: Company Name tt AVCV-51IR p u v\o" Contractor Phone # 72, "$ (CSC) Lic. Holder Name 0 �vt �� � C\.-e-�i City of Fort Collins License # p �`�1 Supervisor Cert # Mailing Address Ll ;Li5 6UA.55 Sk- City Ft Cep 11 • •t g State W Zip LEGALINFO: geA— G T` \ Subdivision/PUD le- �tA- (-Gres. Filing # 0 I Lot # Block # Lot Sq Ft � CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft 01 CX Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 4 1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft I 1 S4 ett V Is � # of Bedrooms # of Full Baths Z '/< Baths 1 /2 Baths t- # of Fireplaces l Air Conditioning: es No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing vJ 3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing ©Prescriptive w/Blower Door1, City of Fort Collins Stock Plan # List appropriate option #s UTILITIES INFO: Water Tap Size wul lop Sire Metered: Yes or No Temp. Pedestal: ©e or No Type of Heat: XGas ❑ Electric Electric Main Breaker Size ((Residential only): )(150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ III I { tQ Description f7 PM O JI LS-bc,5�,W k -io 17nro✓o Cb� � ✓r I. vl VPwJ \t.l�Pvim . rd/ A31.1�..a - c.Anraa 176o a' *n 1 M ..� I-Z,'l iba..r-u. - = 694 "' w Jm AZXL l j\\ s 7T �? !io {} Fe.��5 I — ) 2'-IZ Contact Name &Phone # of JOBSITE SUPERVISOR: 5 Subcontractor Info: Electrical % 3 Lcl -�y"LA- Mechanical hli k- A-C_ Plumbina r�}r`�� ilus^lo. Framer dykek `iito5 • Roofing 14'- VOV±4�oncrete V r )�- CancAfher Applicant: I hereby acknowledge that I have rea4&d this application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinance and state laws regulating building construction. ( / Applicant Signature Print Name r-l�t vi �hW �- t �� Phone �7;2 - !j)0U Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE