HomeMy WebLinkAbout1320 WOODS LANDING DR - APPLICATIONS - 9/17/2008r Y__2 --I--1 A 3xR Cia2
BUILDING PERMITS & INSPECTIONS DIVISION
I PO Box 580 Fort Collins, CO 80522-0580 Phone 2216760 /W30,-.0
www fcgov coin/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER `AJX: VSY APPLICATION DATE
Job Site Address Unit #
PROPERTY OWNER INFO (Ali owner information is required - it is not optional) Phone #
Last Name��e1)( LN L) 1 �U111��i� First Name
Middle
Street Address �, ,��(`, r f'c1c �v R(� City �� . ���\ n_`'j State_Zip
CONTRACTOR INFO Company Namec�t`�1f' "•�iy�K1\�(���ontractor Phone # c� �(Y'�
Lic Holder Name �pSl�� ��/ Tci�C'Cl� City of Fort Collins License Supervisor Cert # c��55\
Mailing Address City State Zip
LEGAL INFO �^
Subdivision/PUD\ CiV A\I1C1L\ C��C3��`�iling # Lot # Block # Loig
CONSTRUCTION INFO Total Budding Sq Ft (not Including basement) j Total Garage Sq FtV3
Residential Sq Ft Comm I Sq Ft — # of Stories_ Bldg `He`ight # Dwelling Units
1s' Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/4 Baths '/2 Baths # of Fireplaces )li_
Air Conditioning Yes No Energy info (Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
3 ResCheck w/Blower Door 4 ES�tarw/Blower Door 5 Prescriptive w/Air Sealing 6 Prescriptive w/Blower Door
City of Fort Collins Stock Plan # 1 � (�m List appropriate option #s
T
UTILITIES INFO
ii
Water Tap Size IS/ y , Sewer Tap Size �A_ Metered (Dr No Temp Pedestal Yes or No
Type of Heat XGas ❑ Electric Electric Main Breaker Size (Residential only) X150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor material & profit) $ _ __ _ __ ��, NIF
Description of Work S
itLov
Contact Name & Phone # of JOBSITE SUPERVISOR YN Ca_\_1A
Subcontractor Info ✓ ✓ \
Electrical C'���S1C�Q (`��\� Mechanical Plumbing (P,C:v
Framer Rp�'��' \ Roofing INnh Concrete ()UC l Ci�1 Other
Applicant I hereby acknowledge that I have read this application and state that the above informationV r e"ct and agree to comy wrth p arequird'eme
contained herein and City of Faq Collins ordinances and state laws regulating building construction
Applicant Signature �- Print Name P Phone
Distribution White - Office Yellow - Applicant Pink - W W/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE