HomeMy WebLinkAbout415 RED HAWK DR - APPLICATIONS - 10/5/2005BUILDING PERMITS & INSPECTIONS DIVISION
�wy s 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 1✓� APPLICATION DATE ✓ V
Job Site Address tj 1-5- K e d -H g c,) 1� JZ,0 Unit # _
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name JAL First NameN' /Ao Middle
Street Address City State ; Zip
CONTRACTOR INFO: Company Name it Contractor Phone #
Lic. Holder
Mailing Ad(
LEGAL INFO: \
Subdivision/PUD
CONSTRUCTION INFO: T I
Residential Sq Ft
1st Floor Sq Ft
# of Bedrooms
City of Fort Collins License # Supervisor Cert #
City State Zip
Filing # Lot # Block # Lot Sq Ft
Building Sq Ft (not including basement) Total Garage Sq Ft
mm'I Sq Ft # of Stories Bldg Height # Dwelling Units
2nd oor Sq Ft Unfinished Bsmt Sq Ft inished Bsmt Sq Ft S�
# of F Baths % Baths 'Y2 Baths # of Fireplaces
Air Conditioning: Yes No Ener info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w lower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No 0
Type of Heat: Gi6as ❑ Electric Electric \Brear Size (Residential only): 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ ' f �� 3 0
r
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical �a t' tv Mechanical o P✓
Plumbing ro N i A,
v�
Framer j C /v v /u ' Roofing 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 construction.
Applicant Signature Print Name Phone
Distribution: Whits — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE