HomeMy WebLinkAbout420 PEYTON DR - APPLICATIONS - 3/31/2008BUILDING PERMITS & INSPECTIONS DIVISION /
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 /� -7;L --
www.fcgov.com/building VVV
CityofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER �r/V 1 J APPLICATION DATE � lJ 1
Job Site Address qZD PSI ,% The - Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not
j optional) Phone #
Last Name 106(v� First Name .�'yC. - i _ i ( Middle COtA
Street Address 'A U �� -j ajUkCity -all �L I I YLS State Zip O Z
CONTRACTOR INFO: Company Name
Lic. Holder Name.
Mailing Address_
LEGAL INFO:
Subdivision/PUD
Contractor Phone
City of Fort Collins License # Supervisor Cert #
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft
1 st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
State
Zip_
Block # Lot Sq
Total Garage Sq Ft
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft -5- "D .3149--
# of Full Baths 3/4 Baths % Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
Water Tap Size Sewer Tap Size
List appropriate option
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
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) $ 1Lj , 050
Of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that I h e read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of For Collins/ r lin nces Ad state laws regulating building construction.
Applicant Signature Print Name Phone
Distnbu ion:- White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE