HomeMy WebLinkAbout625 CASTLE RIDGE CT - APPLICATIONS - 3/7/2012City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort+t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION1 .
APPLICATION NUMBER 1 c1� �� DI I APPLICATION DATE 's L I/. -
Job Site Address 4625 40•- %Z 1LA� 77 Unit #
PROPERTY OWNER INFO: (All owner information is required- it is not optional) Phone # / 7 d !;�a O f ��
Last name MA /iC!�/h First Name Middle L
Street Address b S ! // City �l�J>/ �S State
� Zip �dJ.ZS
CONTRACTOR INFO: Company Name 'r' G G Contractor Phone #
Lic Holder Name Jl7 .O City of Fort Collins License #� Supervisor Carl#r., /
Mailing Address3 / (� - Cityate ' Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot #
Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 67' �ix
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height
# Dwelling Units
1s' Floor Sq Ft 2nd Floor Sq Ft 3`d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths
Yz 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 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
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 3 Gf ��Z5;
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Description f rk:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: p
Electrical:-* �Z- i; Mechanical /� „_�,.� Plumbing //2/�
Framer%% r� C� &ae25 Roofing A43Z;O cp>>>5/Concre A fireplace
Solar Other Other Other
Applicant: 1 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 Col ins ordinances a d state ws regulating building construction.
Applicant Signature op
Print Nam Phonet� OA
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE