HomeMy WebLinkAbout421 PEYTON DR - APPLICATIONS - 5/31/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER �) \(J �/ 5 APPLICATION DATE
Job Site Address -f Pgj7DAl 2 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # � '% 3 O$
Last Name R L- jl- u"iz First Name C�9.eC.� V- D✓�V/!� Middle
Street Address 7 Z r �1 y tcw j)2
City F • State 4D Zip A04-2-47
CONTRACTOR INFO: Company Name V��Z,JI„�G d i Contractor Phone # Z Z 7 #/f/ k
Lic. Holder Name 57 -V (,J�, y,�(� City of Fort Collins License #—A2- Supervisor Cert # ZRZ_
Mailing Address /503 LnDKajj LA�t= City�� . CD[t.r.JJ State Co Zip dd,S L(o
LEGAL INFO:
Subdivision/PUD eI a kJOoo i-hus P,;a Filing # � �— Lot # L / % Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq Ft
1st Floor Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft60 _ Finished Bsmt Sq Ft 2Z3
# of Bedrooms # of Full Baths — 114 Baths I % Baths
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck
3. ResCheck w/Blower Door 4. E-Star w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
5. Prescriptive w/Air Sealing
List appropriate option #s
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
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) $_ Z 17 % O 00
Description of Work: �/}Sr MG•ar 1'�-.,✓/S!/ j7� ii�Gtv��= �g aLb,2vp,..l '��y7� L/ d /.�G �cJ�
W i.j C_ l3/1,2 V- Spa¢.► /.
Contact Name & Phone # of JOBSITE SUPERVISOR: suxi GkA✓mjJ Z_Z7 4yto
Subcontractor Info:
Electrical 1'Y/pj,jft,.J f[.f„j f �7.N-C. Mechanical Plumbing ALO
� d/
Framer -'Z f Roofing nJ 14 Concrete 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.
Applicant Signature SL Print Name 5l�—r Ws Phone 7,47 y115(c
s ibution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE