HomeMy WebLinkAbout4501 SEAWAY CIR - APPLICATIONS - 10/20/2008BUILDING PERMITS & INSPECTIONS DIVISION
—� PO Box 580 Fort Collins, CO 80522-0580 Phone 2216760
www fcgov com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER
vvgyWYa APPLICATION DATE Io L-90 lc)\�
Job Site Address
Unit #
PROPERTY OWNER INFO (All owner information is required — it is not optional) Phone #
Last Name First Name_ ���N Middle EiV&,e-gV
Street Address l 4'w` �� 67 ��£' City / F / (2r (, D S7 State Zip 7
CONTRACTOR INFO Company Name Contractor Phone #
Lic Holder Name
Mailing Address
LEGAL INFO
Subdivision/PUD
City of Fort Collins License # Supervisor Cert #
City
Filing # Lot #,
CONSTRUCTION INFO Total Budding Sq Ft (not including basement)
Residential Sq Ft
1st Floor Sq Ft
# of Bedrooms
Air Conditioning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
State Zi
Block # Lot Sq Ft
Total Garage Sq Ft
Comm I Sq Ft # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Full Baths % Baths '/2 Baths # of Fireplaces
Energy info (Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
4 E Star w/Blower Door 5 Prescriptive w/Air Sealing 6 Prescriptive w/Blower Door
Water Tap Size Sewer Tap Size
List appropriate option #s
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
Value of Construction (including labor material & profit) $ / (��0- ou
Description of Work
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical
Mechanical
Plumbing
Framer Roofing Concrete 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 ordi nces and state laws regulating building construction
Applicant Signature Print Name VO��/� �' " / �6 Phone � Z
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Distribution hate — Office Yellow — Applicant Pink — WWW/ for ater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE