HomeMy WebLinkAbout3551 GREEN SPRING DR - APPLICATIONS - 7/2/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box SM • Fort Collins, CO 805224WM • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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Address P19ase Specify LN. DR. CR. WY. PL. ST. CT. RD. AVE.
City State Zip Code
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Company Name
License Number
Supervisor & Cert. #
Mailing Address
City
State Zip Code
Phone
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Specify.-�+ LN4WCR.
WY. PL. ST CT. RD. AVE. Zip Code
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Subdivis
Filing Number
Lot Block
Lot Area
3
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BuildingSquare Footage
4 SQ �
Number of� Stories
--
Building Height /
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Number of Dwelling Units
07
Number of Bedroo athrooms nfi is Finished Basement Sq. Ft.
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Stock Plan Number Options
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Energy Score/E-S Air Seam Blower Door
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N
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Water Tap Size h
Sewer Tap Size
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Typ o Heat:
Electric Main Breaker Size Re idential Only)
Temporary Electric Pedestal Requested:
Gas 0 Electric
❑ 150 amp or less 200 amp ❑ other
'Yes ❑ No
(including labor, material, profit) $
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Description of Work:
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Job Contact Name & Phone #:
Subcontractor Names. t�
ElectricalMechanical _yt2 Plumbing 8ey,�c
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Framer j�"-,r!/!1e'1G Roofing 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.
w
o. Signature
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Print Name 'i% �tio� Phone 9�'d •� )''•�y/�
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180, YS FROM APPLICATION DATE