HomeMy WebLinkAbout1439 CATALPA CT - APPLICATIONS - 3/5/2013City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collinsll281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/� www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER J O' C)41 APPLICATION DATE
Job Site Address 1Y39 C..�wtov CT Unit #.
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 9 70 - qB3 - e 'L9
Last name 1K14150 r�- 1 First Name / Middle
Street Address I q � � `L � \pfnn_ 4City ���- (-V j j%�'-i State /6 Zip
CONTRACTOR INFO: Company 1Name 4>4k Contractor Phoone # ¢%� - /��g-e150d%
Lic Holder Name AtC.GC— City of Fort Collins License # b-07, Supervisor Cert #
Mailing Address %go WZ.I gT City C� State 4/0 Zip 8lj� Te
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq
151 Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
201 Floor Sq Ft
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
# of Bedrooms # of Full Baths 3/4 Baths
Unfiished Bsmt Sq Ft _
/z Baths # of Fireplaces
Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
List appropriate option #s . h
UTILITIES INFO:
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 s
Value of Construction (including labor, material & profit) $ 1414 Vt/
Description of J Work: O&y k5 vk r,*- ' (c DG A Qex-k . �-ObC, o��\ �I`DS� m�
W 1 I�C�-� YJ 1r ft iG � l �I t�'w pxA N/Ly�: W _ W �� u.` d 'j+r A \ rw y-) :I et C P,
A I..., , '- _.0"0
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Contact Name & Phone # of JOBSITE SUPERVISOR: � c\4!5 M -
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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 Print Name CAN ` 4+-%h5 Phone
ution: White -Office Yellow- Applicant Pink - WWW/Stormwater
THUS APPLICATION EXPO LIES 180 DAYS FROM ACaDai_OCATION DATE