HomeMy WebLinkAbout328 E SWALLOW RD - APPLICATIONS - 4/24/2013City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�t Collins 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
,Jao lS%Z BUILDING PERMIT APPLICATION
APPLICATION NUMBER`' `'WL �li✓ �// APPLICATION DATE
\Job Site Address 319 l Swg icoc- - Rd Unit #
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone #gJ i0
Last name 'BOCA J L e. S First Name 11)k 1.1 , 'n Middle G
Street Address i(-3;Z SS7 ✓a I.0 CitL2¢.eLa-4= State__� 0 Zip (?b6?q
CONTRACTOR INFO: Company Name PA AAL/1 Contractor Phone #
Lic Holder Name
City of Fort Collins License # Supervisor Cert #.
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft _
Residential Sq Ft Comm'I Sq
1 st Floor Sq Ft
Finished Bsmt Sq Ft
2^d Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
# of Bedrooms # of Full Baths '/. Baths
Unfiished Bsmt Sq Ft _
Yz Baths # of Fireplaces
Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric Electric Main
Value of Construction (including labor, material & profit)
\ Description of Work: �l% �� ��O
List appropriate option #s
Metered: Yes or No Temp. Pedestal Yes or No
Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Contact Name & Phone # of JOBSITE SUPERVISOR:
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 CgyFort. Collins ordinances and state laws regulating building construction.`Applicant Signature Print Name I�t, I"/ G . P xvLes Phone 3?9-9on &
Coh&- 19W -vR'io7
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE