HomeMy WebLinkAbout3281 TWIN HERON CT - APPLICATIONS - 9/14/2005r t y s BUILDING PERMITS & INSPECTIONS DIVISION
h� P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER IJO�� APPLICATION DATE C1/L4 /05
Job Site Address , UM HCrO L • E-Co o 0( $i
"S5Anit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name ' r ! iA.iO(.i First Name C'ir �SUs AIce Middle C
Street Address ��-b �Ii.i1 ttt".1�i C City • nlJ S State- CD_Zip
CONTRACTOR INFO: Company Name
Lic. Holder Na
Mailing Address.
LEGAL INFO:
Contractor Phone
City of Fort Collins License #
City
Supervisor Cert #.
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft 1330
# of Bedrooms # of Full Baths 3/4 Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size 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) $,
Description of Work: Fianu ttA tz M , (t
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical M e L P)red C XMe ha 'cal x Plumbing
FramerT�w—k-CUS'ivrY1aRo ing&'fT___ 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 ordinances and state laws regulating building constructions., a�,��
Applicant Signatur Print Name`f j1.5 .! to ICE II IkZjf.4f!1�Phone C;03 &q36
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE