HomeMy WebLinkAbout946 SNOWY PLAIN RD - APPLICATIONS - 9/7/2010Cuty of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rtCdtins 281 N. CoNege AviL 9 Fort C*Wms, CO s-ro =-sT60
)ob Site Address
BUILDING PERMIT APPLI"TRON
Unit #
PROPERTY OWNER INFO: (Ad owneir kftrmation Is requbW - It Is not opdbrai) Phone #
ast nameFast Name __rj_0 i3L/ Middle
itreetAddress Z�3(ot tc�. IZD�h { City to �t?sr&f.1 state Lo zipp �oz3
;ONT RACTOR INFO: company Name Contractor Phone #,2D - 3V 1, 133 3kk
bbo3 supervisor Cart # Z
1 K� �T�. jt�/� �7-� -
-tc Holder NameCity of Fort Collins License #
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Aaling Address !ia(D w • ". City !6%V state 60 Zip � , L
.EGAL INFO:
;ubdivislon/PUDt�-N� Fdir>g # 3 Lot #0 # Lot Sq Ft 1�7J
:ONSTRUCTtON INFO: Total Bu�'atg Sq Ft (rot in beserre , Q 'I % J Total Garage Sq F} 3 p
r1
tesidential Sq Ft Comm9 Sq Ft N /T # of Stories Bldg Height 1 /�0# Dwelling Units
-
" Floor Sq Ft 10,61 2id Floor Sq Ft 3id Roar Sq Ft `F'Z Unflished Bsmt Sq Ft �
d
ini-best Bsmt Sq R # of Bedrooms �J # of Full Batas 2 � Baths -LJA 'A Baths / # of Fueplaces
Ur ...utc Wbn1ng: (S> No Energy info: (C*de appropvisfe d o7ae) 1 _ ComChec k 2. ResChedc w/Air Sealing
ResCheck w/Bkw" Door 4. SimulatedPerformanceAlternative S. Prescriptive w/Air Sealing %�Presc riptive w/ Blower Door
:tty of Fort Collins Stock Plan # d / 7r/ S— List appropriate option #Is ��// Z I G4CE
/ 160k- (mil;u 6
ITIUTIES INFO:
Vater Tap S¢e 3 �i''' Sewer Tap Size =�_--- Metered: ® or No Temp. Pedestal (&>or No
ype of Heat: X Gas ❑ Elec Iris Electric Main Breaker Site (Residentialonly) ®150 Amp or Less ❑ 2W Amp ❑ 0ther
value of Construction (including labor, material & profit) E 00, W-' I/D
J/ N Cj M �" l
)es«iption of worts
kmtact Name & Phone # of JOBSITE SUPERVISOR: m 1 wa 51z1AjINl6rL ?ZQ - %[-1333
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q nt I hereby adatow>Ed aR t hav8 Least ft ate, and stela that the above intomution is�orec t and agree to comply with as requirements
oi._ red herein and City order and sta6e taws regulating bu&ft construction- � / �t
applicant Signature Print NameT IAZ. I ��1"/1 oII�JLf� Phone7l"�i'72-(35►2
Dotzi1ution: While - 0111m Yellow - Applicant Pink - W W W/Stomrwater
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