HomeMy WebLinkAbout933 SNOWY PLAIN RD - APPLICATIONS - 2/5/2010Fort Collins
Job Sete
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N College Ave. Fort Collins, CO W522-OSM nwnw 970 2215160
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BUILDING PERMIT APPLICATION
Unit #
PROPERTY OYMNER INFO. (An owner information is requh - d is not optional) Phone # 3030 - 412 -1
Last name TE-aNf%� _ First Name --T ,n ( Middle
Street Address� •,/ /17 �Z��hFff/t id CrlyCONTRACTORINE� �l)�. State Zip
,01 Company Name �jtl4il:w C ?4&r t�i'FiJ1&� Contractor Phone # 20 -3t2l 1333
Uc Holder Name
'A K IMW 4 6ra City of Fort Collins License # bb03 //Supervisor Cart # Z715
Marling Address !�(D� W (�! � i Cdy Wt�i1LWS* - State [� Zip'-�—
LEGAL INFO, 2
Subdmsion/PUD �Q1 HC& !X��6 -- Fdmg # -7 Lot # Block # z Lot Sq Ft
CONSTRUCTION INFO. Total Budding Sq Ft (rot k=kKroV ttasa.rierd) � D !/J Total Garage Sq FtS'—
Residential Sq Ft (jqZg- Comm I Sq Ft�_ # of Stones.—'— Bldg Height zir #Dwelling Units
1 ° Floor Sq Ft F Ili= S 2nd Floor Sq Ft . Ai Z A 310 7VVF T fut /V Unshed Bsmt Sq Ft
Finished Bsmt Sq Ft 1i -# of Bedrooms �# of Full Baths Baths T / Baths 96L # of Fireplaces �-
Air Condidoning- �E? No Energy kdb ( Cade appraprtaGe dwioa) 1 ComChedt 2. ResCheck w/Air Sealing
3 ResCheck wBlower Door 4 Simulated Performance Alternative 5 Prescriptive w/Air Seating 6&Prescriptive, w/ Blower Door
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City of Fort Collins SioPlan # 179 List app ropnate option #s 1 �uL L I JSMT Z TII2fPLAL�
trfttlTiES INFO. ® ►7R*j WiAjZVW � S7 To s Ar /G C! F/N/SH h�T-
L I Z- OPT P4&� /
Water Tap Size 3 Sewer Tap Size_ Metered ® or No Temp Pedestal ®or No
Type of Heat im Gas ❑ Electric Electric Main Breaker Size (Residential only) 1@150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (Including labor material 8 profit) S ZZ I �s
Description of Work 06 W 6/ )6 a '� r` M a o Ff M G
Contact Name 8 Phone # of JOSSITE SUPERVISOR
Subcontractor Info
Solar
Other
Other
Other
Applicant I hereby ackrowiedge that i have read this appfi abon and state that the above Information Is coned and agree to compy with ail requirements
contained herein and Cdy of Fort Colin ordinances and stale laws regulating balding conshuclion
Applicant Signature Print Name 1 /� 10 T�.1�/I11N6 Phone �0--*72'(3F2
Distribution White -Office Yellow -Applicant
TZ r _ 1
Pink - W W W/Stomiwater