HomeMy WebLinkAbout632 PEYTON DR - APPLICATIONS - 4/27/2005City of Fort Collins
APPLICATION NU
Job Site Address
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION
owner information is required - it is not optional)
Unit #
Phone # " � - l
CONTRACTOR INFO: Company N m I °v LAW ContractoJI
l rrPPhhone #
1 Yam` P Skii
11
Lic. Holder Name City of Fort Collins License Supervisor Cert # ��� ' 1
Mailing Address
City
State Zip
LEGAL INFO: n
Subdivision/PUD qq WVW U Filing #_ Lot #—io� Block #—a Lot Sq Ft-�-s
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) _ Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories_ Bldg Height&O _3 # Dwelling Units _
�J
1st Floor Sq Ft LO �2 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths 'h Baths # of Fireplaces
Air Conditioning: es No ergy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. si�w/Blower Door 5. Prescriptive w/Air iSealing 6. Prescriptive w/Blower Door \O
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size y Sewer Tap Size �A Metered: Desor No Temp. Pedestal ) 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)1 $ 1,3ua +
Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Applicant: I hereby c
contained herein and
Applicant Signature,
rave read this application and state that
ordinances and state laws regulating bL
is correct and agree to comply with all requirements
Phone < -/93/
APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE