HomeMy WebLinkAbout621 PEYTON DR - APPLICATIONS - 4/25/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 50 p APPLICATION DATE ( '-� t " 0 5-
Job Site Address
PKUPEKTY OWNER IN II owner information its required - it is not optional)
Last Name , , `Y Girst Name.
Street Address
CONTRACTOR INFO: Company Name
Lic. Holder
Mailing Address
Unit # In1 j
Phone #S=� (:1,8 - 4
�o Middle
1-� State __CbZip
ANS✓ V�Jk-\K-ContractorP�iihone #
City of Fort Collins License #e@ -31 Supervisor Cert #
City
State Zip.
LEGAL INFO: _ 2
Subdivision/PRA�Woc�
U Filing # �.J Lot #� Block #-0-- Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ' 15 Total Garage Sq Ft ` -19
1 it
Residential Sq Ft''7 Comm'I Sq Ft # of Stories Bldg Height 3A #Dwelling Units
S
1st Floor Sq Ft { 2nd Floor Sq Ft `'�ZO Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths _ % Baths 'Y2 Baths �_ # of Fireplaces _
Air Conditioning Yes No le appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing (�
3. ResCheck w/Blower Door 4. w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #sue%
UTILITIES INFO:
, `'t i p `� ll
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: es or No
Type of Heat: j Gas ❑ Electric Electric Main Breaker Size (Residential only):] 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $_ L l ��,. �-
Contact Name & Phone # of JOBSITE SUPERVISOR
Electrical
Framer-M
Applicant: I hereby a
contained herein and
Applicant Signature
lave read this application and state that the
ordinances and state laws regulating buildir
rmation is correct and agree to comply with all requirements
Phone Li ;vJ/
HIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE