HomeMy WebLinkAbout615 PRICHETT CT - APPLICATIONS - 8/3/2009BUILDING PERMITS & INSPECTIONS DIVISION
i� P.O. Box SW • Fort Collins, CO SW=-05W • Phone: 221-6760
6 www fcgov convbui1&ng
F Cityofortcollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER &A 4 APPLICATION DATE T, V - 0 5
Job Site Address lots i1z.c%kE-\T gojer- co��.i�15 og SZ5 Unit#
PROPERTY ,OWNER INFO (AD owner information is required - it is not optional) Phone # 9 % Q • 'Z'Z'L 9 119
Last Name Cc1ZOFirst Name M\LWneEl_ Middle���
Street Address Coati •c �\ Q>J(Z- City. " �- u�`'S State Co Zip qVS^Z'S
CONTRACTOR INFO: Company Name _ _ Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
Subdivision/PUD Filing # 11-k P > Lot # y (0 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not hww&v baserre-m .Zt>?to SQL Total Garage Sq Ft (gQ9 SQL
Residential Sq Ft Comm`I Sq Ft # of Stories Z Btdg Height # Dwelling Units
131 Floor Sq Ft I &c2o 2ndFloor Sq Ft 7 0 O Unfinished: Bnf Sq Ft e s 8 Finked Bsmt Sq Ft
# of Bedrooms # of FuR Baths % Baths % Baths 5 # of Fireplaces
Air Condi inning: No Energy brto (cork Wprawsae choke) 1•_ ComChedr 2_ ResChedc wfAir Sealing.
3. ResCheck v Blower Door 4. Ear v Btowrer Door 5_ Prescriptive wdAir Sealing 6_ Pnmuriptive w/Blower Door
City of Fort Collins Stock Plan #
Lis appropriate option #s
UTRlTIES INFO:
It 1�ir
Water Tap Size Sewer Tap Size '7 Meow* Yeq or No Temp. Pedestal Yes or to
Type of Heat 14Gas D Electric Electric Main.Breaker Size (Residential only):- D' 150'Amp or -Less jk2COAmp�0JOther
Value of Construction (icluding labor, material S profit) i ZO coo
Description ofMdc__�,y_ Rt,' p&� . 1 `af c cv�ws•.JC,\ 1
1 to E-F 91--L _ 45 t-)s I
Contact Name &L Phone # of JOSSrM SUPERVISOR:
Subcontractor Info:
'` ' ` �3 2,116
Electrical Npt Mechanical �lAr Plumbing.-SkDCC.A t�W� A&3►b1f
Framer N A Roofing Concrete O A- Other
r Appficarrt f' hereby acknowledge that t have read aft application and state that the atmve Worma6on is correct and agree to cwnpty with all requiremerils
contained herein and City of ort Collins ordinances and state taws regulating bonding. consbuction..
Applicant Signature , �� ` Print Name tt 9e� Qj��k Phone
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sfribufiam- White - Office Yellow -Applicant Pink - WWWIStomewater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE