HomeMy WebLinkAbout6127 ESTUARY CT - APPLICATIONS - 12/7/2009i yid-/ - /
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 - Fort Collins, CO 80522-0580 - Phone: 221-6760
6;: www.fcgov.com/building
Qof Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE
Job Site Address EM44V 677 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # N Q.• 7--9 1 - Sad 3
Last Name �A0,46 'I�.,K1 First Name . B144 i�� Middle n,�
Street Address .35—d ® fU14A � � City l'—��/1 i ,r State W Zip Z 5- S
CONTRACTORINFO: Company Name Contractor Phone #,
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO: �r j
Subdivision/PUD ' 71 t- J i /UG�l d I �% lL �# Lot �ry BI ck # Lot S t
CONSTRUCTION INFO: Total Building Sq Ft (not including baserr --o otal Garage Sq Ft /d
Residential Sq Ft V3,2— Comm'I Sq Ft # of Stories / Bldg Height ?-9 , # Dwelling Units
1 n Floor Sq Ft �!�%_l 2^d Floor Sq F Unfinished Bsmt Sq Ft AWW861ished Bsmt Sq Ft
# of Bedrooms T # of Full Baths �_� % Baths / '/ Baths # of Fireplaces clz
Air Condit/oning: 4SINo
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
3 it
Water Tap Size
Energy info: (Circle appropriate choice) 1. ComChec k
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option #s
2. ResChec k w/Air Sealing
(Drescriptive w/Blower Door
Metered Yes r No Temp. Pedestals or No
Type of Heat: GGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 11550, Amp or Less ' H 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $--� (�'d[— '�� ► I +�
Description of Work: A64
Sewer Tap Size
Contact Name & Phone # of JOBSITE SUPERVISOR: !J
Subcontractor Info: G %fit �4 �� �1 � /,�
Electrical Z11NOV4 il/k Mechanical nIW—� AL �'i�i IgJA�L�� Plumbing W✓r/H�lA
Framer 72r 4 Roofing GOGlIl' �r�U�/fir Concrete /'Q/wes 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`.. '4S24— — Print Name ?->lfil_`���%�C9,t�AtJt Phone IM • gl3i • 5303
Distribution: V White - Office Yellow - Applicant Pink - W W W/Stormwater
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