HomeMy WebLinkAbout415 RIDDLE DR - APPLICATIONS - 4/5/2010COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
APPLICATION
Job Site Address
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION
Unit #
PROPERTY OWNER INFO: (All owner information is required - it isZaA1LCV
nottional) Phone # �7
1
Last name A v C<, _ First Name _ Middle LQ
Street Address `T /�] 1� �s�(a, �. City /—� r. l�V lri�S Statezip�
CONTRACTOR INFO: Company Name ) o t: i" Contractor Phone #
Lic Holder Name
Mailing Add
City of Fort Collins License # Supervisor Cart #
State Zip
LEGAL INFO:
Subdivision/PUD 9214 Ae rol 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_
151 Floor Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3'd Floor Sq Ft
Finished Bsmt Sq Ft 03 # of Bedrooms # of Full Baths
Air Conditioning: Yes No Energy info: ( Circle appropriate choice )
Unfiished Bsmt Sq Ft
% Baths '/z Baths # of Fireplaces
1. ComCheck 2. ResCheck w/Air Sealing r4
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan #
UTILITIES INFO:
Water Tap Size Sewer Tap Size
List appropriate option
6. Prescriptive w/ Blower Door
_k
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
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: I
Electrical g ,e- kI , K A ef— ge/ eC , Mechanical �e�l gBAj.,,�Lc --�—
Plumbing � to e_=5 r—
Framer
Solar
Roofing
Other
Concrete
Other
Fireplace
Other
Applicant: I hereby acknowl dge that I have read this pplictannd state that the above information is correct and agree to comply ith all requirements
contained herein and City o ort Collins ordina s d staregulating building 2crlete-k�
ruction. C�
� Applicant Signature PrintName/ Phonel� T le'8 d
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE