HomeMy WebLinkAbout600 BLEVINS CT - APPLICATIONS - 7/25/2008BUILDINC PERMITS & INSPECTIONs DIVISION
6 _ , EO. Box 380 • Port Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Port Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER ZS 04 4 A (/7 APPLICATION DATE
Job Site Address LLD �4 rz t N S Cr) c •ET- Unit # ��f}
PROPERTY OWNER INFO (All owner Information is required -it is not optional) Phone # CI 7O '; 2S - 0 L7 O
Last Name 7�cOFirst Name A AhrFS Middle
Street Address l-{00 Coc'morAa TT C-OuC City F'. C. State Ca_Zlp f565,2 f'
CONTRACTOR INFO Company Name pNt Contractor Phone 4270 -377--0437
Lic Holder Name Sw4N.67r'on City of Fort Collins License # 3 ^ 3102 Supervisor Cert #
Mailing Address I W h_ . H P nY F L City T • C State_ Zip O d sa 5-
LEGALINFO
Subdivision/PUDD�LP1II85 Filing # Lot # Block # 10 Lot Sq Ft (pSoo
CONSTRUCTION INFO. Total Building Sq Ft (not including basement) ) {J `4 Q
Total Garage Sq Ft-0
Residential Sq Ft I S t(O Comm'I Sq Ft # of Stories 1 Bldg Height # Dwelling Units
1st Floor Sq Ft i7L(O 2d Floor Sq Ft Unfinished Bsmt Sq Ft i7 Finished Bsmt Sq Ft G�
# of Bedrooms S ¢45 # of Full Baths 1 % Baths i Yz Baths # of Fireplaces
Air Conditioning: Yes (E) 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 #
UTILITIES INFO
List appropriate option
Water Tap Size F-w)v Al. Sewer Tap SzJ�xt 5-1Y14 b Metered es or No Temp Pedestal Yes or No
kt%-15 r1Al(- xt5r/A((J
Type of Heat da'Gas ❑ Electric Electric Main Breaker Size ( esidential only) ❑ 150 Amp or Less 0 200 Amp 0 Other
U<'
Value of Construction (including labor, material & profit)'' I$ OC) II
Description of Work Nc,r TaMtuli `\urvrft "Ta Uhr0//-[� t40v5r
Contact Name & Phone # of JOBSITE SUPERVISOR: 114w, F 5 J� `�N S'r'fo�•, c'176 - 56-7 I3�.� OFL C,
Subcontractor Info:
Electrical II Mechanical t`I � Plumbing
Framer k Ltot Roofing NIPr Concrete Other
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Applicant I hereby acknowledge that I "ve read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit of Fort Coll s dmances and state laws regulating budding construction C n G�
Applicant Signature Print Name h+R•i 'S;AN$TiPhone I `� - � 37
Distribution While - Office Yellow -Applicant Pink - VVVVVV/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE