HomeMy WebLinkAbout648 HEATHER CT - APPLICATIONS - 6/16/2008BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort CollinsCIA—D''••ING PERMIT APPLICATION
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APPLICATION NUMBER ' m5U1lo APPLICATION DATE ote ! lk JQoW
Job Site Address 54 � HF,4T+te tz, C_'T- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 4-a,3 �cs42A
Last Name (} ZA Lk/A First Name TF_ P U t-6010 Middle
Street Address_ 6-1eC F-(FAngL a e r City F7 State C'J Zip P30 S2Y
CONTRACTOR INFO: Company Name 0.14 . 14AAT &>&[<.,WQ970&ontractor Phone # 4(70 17 S%�5
Lic. Holder Name eL rFl"(:5f2D t4 . /-1,4RT City of Fort Collins License # C) -70 Supervisor Cert #
Mailing Address (0Oy' ef)ko A i kp City 9 %-, eC3 I-C-f a(5 State e-40 Zip £in G`F
LEGAL INFO:
Subdivision/PUD 16 f^ (.7 T'-(4 'P(Aj fW Filing # % T Lot # 13 Block # Lot Sq Ft 656
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq
list Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes
3. ResCheck w/Blower Door
2nd Floor Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths [ a/, Baths I F.tct s '/z Baths _0 # of Fireplaces /
No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
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 (including labor, material & profit) $ l l 1 11 I D . q 1)
Description of Work: IFr TD M/iSiEU2 f3FDi2li(fW, REKtth>'' 0104S
a A. r, N ULD A r f: P= Lhe ri 3 ie � 1 -44 (-611L 13.4 rrf
Contact Name & Phone # of JOBSITE SUPERVISOR: L_PL- I Fi=(k i� H. i•d'40e:- 42 f "7-
Subcontractor Info:
Electrical (Zo-ss1 Mechanical hOC)bkk A (iVit- /9 If Plumbing COOP-oY"-tf j F
Framer (t_ ji- N ({1— Roofing Mft-SrctQ-'. Concrete Si F'r_� 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 Fort Collins ordinances and state laws regulating building construction.
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Applicant Signature / Print Name (21-;11"FORD (-[: Ho4R Phone
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE