HomeMy WebLinkAbout3281 TWIN HERON CT - APPLICATIONS - 9/14/2005 (2)BUILDING 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 NUMBER05� `J APPLICATION DATE C1IL4 /Q5
Job Site Address Q M31 : ( - HHCTM LL
PROPERTY OWNER INFO: (All owner information is required - it/iis not optional) Phone #
Last Name 1A.10U+ems First Name Car" �'S(l�J�'fa,�I�,� t� , Middle
Street Address ��b -FIAYLk Iii(� 01 • City • �A ups State�_Zip
CONTRACTOR INFO: Company Name
Lic. Holder Name
Contractor Phone
City of Fort Collins License #
Mailing Address City,
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq Ft # of Stories
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Supervisor Cert #.
State Zip
Block # Lot Sq
Total Garage Sq Ft
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
List appropriate option #s
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: Fai-m wl iz 1Y)
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: pr �eC��1ZG
V- Electrical Me L &nfdc
�1. �'jMe han'cal
Framer�Q � y- CULT ma Ro ing - -�L
Concrete
X Plumbing
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 construction.
Applicant Signatur Print Name,fl II f l Phone -3 CO ICJ
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE