HomeMy WebLinkAbout331 SPINNAKER LN - APPLICATIONS - 4/27/2006 (2)BUILDING PERMITS & INSPECTIONS DIVISION �W i a3
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
(MM&MOS
www.fcgov.com/building O j
City of Fort Collins BUILDING PERMIT APPLICATION ` V
APPLICATION NUMBER V f ) APPLICATION DATE1
Job Site Address 3
Z— x[ Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # -�
Last Name I.LT T�(�_ First Name Middle L
Street Address City[' CipLL (!]$ State C�Zip v 2
CONTRACTOR INFO: Compalny Name Contractor Phone # i �� - 49 3 3 i 'T 9
Lic. Holder Name YfKJ �n +(ZI A P,®��Q#6rt Collins License # I -Z_ Supervisor Cert # �1
03ellvue, Colo. 0512 r
Mailing Address U �� 2 C( City' �ZL f/(,� a State_ Zip
LEGAL INFO:
Subdivision/PUDIt 1 2--7 Filing # 2 Lot #_2��L Block # Lot Sq Ft_
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) I i 3 9 Total Garage Sq Ft
Residential Sq Ft Aj= (-- Comm'I Sq Ft I# of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Full Baths 3/4 Baths Y2 Baths # of Fireplaces
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
List appropriate option #s
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) $
0
Description of Work: 2 U-M 13 :3= y'L— 0 T= 1,35 -T A-L L .S-A09,J,C=
02 P.A &\'
Contact Name & Phone # of JOBSITE SUPERVISOR: 4<�vxJ 5-(6, - S 7 ` 3
Subcontractor Info: II ''
Electrical 040'Lj/' 1p echanical
Framer Roofing
Concrete
Plumbing
Other
Applicant: I hereby acknowledge that I have read this application and state that the ove information is correct and agree to comply with all requirements
contained herein and City of Fort Collins ordinances and state laws regulatin ing construction.
Applicant Signature Print Name i, !" \�Rrt Phone !J (�jj
Distribution: White ffice Yellow —Applicant Pink — WWW/Stormwate
___ __________, _ THIS APPLICATION' EXPIRES 90 DAYS FROM APPLICATION DATE