HomeMy WebLinkAbout6939 ROSEMONT CT - APPLICATIONS - 12/3/2003City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last First
Middle Phone
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Address Please Specify: LN. DR. CR. WY PL. ST. CT RD. AVE.
City State Zip Code
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Company Name License Number
Supervisor & Cert. #
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Mailing Address City
State Zip Code
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Phone
Please Specify: LN. DR. CR.
WY. PL. ST. CT. RD. AVE. Zip Code
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Subdivision/PUD r
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Filing Number Z Lot zZ— Block
Lot Area
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Building Square Footage Number of Stories
1 ding Height
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Number of Dwelling Units Number of Bedrooms/Bathrooms Unfinished/finis d sement Sq. Ft.
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Stock Plan Number/Options Radon
Energy Score/E-Star/Air Sealing/Blower Door
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Water Tap Size 3
L4 Sewer Tap Size
Metered
6i
4
Type of Heat:
EI ctrnc Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑Electric
150 amp or less ❑ 200 amp ❑other
Yes ❑ No
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Description of Work: 3 -3 t C) q �
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Job Contact Name & Phone #:
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Subcontractor Names:
Electrical E S F Lf (--r Mechanical f ' Y-- f'no Jc'T S Plumbing C-
Framer Cs:E. r\s (-�— E
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Roofing m'- 7 «�� c_ r- (- Concrete
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 ordinances and state laws regulating building construction.
Signature "NJ
Print Name (-- (-XA Y,�" 0- f-- t.-L--f- -P- Phone 3u ---2> 3 2- 3 ) 133
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE