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HomeMy WebLinkAbout603 PRICHETT CT - APPLICATIONS - 7/14/2011City of COM "I.I DEVELOPMENT & NIWHBORHOOD SERVICES F6rt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 a Phone: 970-221-6700f www.fegov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER- _ -.O__ _� APPLICATION DATE Job Site Address © Unit # PROPERTY OWNER +INFO:: (All owner information Is required— ItIss nnotoptional) Phone # CI-® — —T { 2.- 230 I Last nameCOI l.{on First Name DaV Middle ���//''�� - - - - ^^- ^^ QQ�� Street Address (D03 R-i che* ct • City Far COI 1 I n S State tti. o Zip OJ25 /� a/1� Clio- p t 2 CONTRACTOR INFO: Company Name gk1. _ V. � t JI i M r C ft antractor Phone # "1i o 51 I ryQ I J Lic Holder Name City of Fort Collins License # ®z- 98 Supervisor Cert #G 1,V —DZ Mailing Address City �1. U Wf'ti1 1tate Zip LEGAL INFO: Subdivision/PUD _ Filing # _ _ Lot #_ZE Block # Lot Sq Ft oMj_ CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 15 _) Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 111 Floor Sq Ft Znd Floor Sq Ft _ 31' Floor Sq Ft Unfiished Bsmt Sq Ft W00 Finished Bsmt Sq Ft # of Bedrooms # of Full Baths %Baths '/ 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. Simulated Performance Alternative S. 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 Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Site (Residential only) ❑ 150 Amp or Less 0 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ 5.11_o0 0' .yio-1 Description of Work:. T: ft 9 Contact Name & Phone # of JOBSITE SUPERVISOR: SubcontractorI Q G Electrical x p Mechanical Plumbing Framer Roofing Concrete Fireplace — Solar Other y5 C r Other Or Applicant: I hereby acknowled that I have this app ication and state that the above information is correct and agree to comply with all requirements contained herein and City of rt Collin a d state laws regulating building construction. I Applicant Signature _ Print Na/me _ /t�� �y w�L-!I Phone �a T• 7 0i� ! Distrib Pink ion: VNhite - Office Yell Applicant - W W W/Stonnwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE