HomeMy WebLinkAbout931 KINGSTON DR - APPLICATIONS - 8/26/201406/19/2014 07:51 9705930124 GOLD ROOFING INC PAGE 01/01
COMMUNITY DEVELOPMENT R NEIGHBORHOOD SERVICES
ofttins =1 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-4164740
www.fcgovi.eomilwilding
BUILDING PERMIT APIDUCATION
APPLICATtoN NUMBER-. B1.r)l0 %0�— APPLIcAlm DA
Job Site Address k; 7?r, Unit #
PROPSl2TY MR INFO: (All Omer Information Is required-.IYim not optional) Phone - !Lot ' o/e'l
Last name f ( _ First Name n246A Middle
Street Address 331 k i I011-1� flt', City State--' ZIP
SdaN PAOM INFO: Company Name- 6r01$ I�-Oo rend_ Contractor Phone # 70 R�S 30'90
Lic Holier Name City of Fort Collins License # 5upenrisor Cart #
Mailing Address ti2li E. Erg owes r City t. ouGlay.ml State Co 7�p 4t
LEGAI. INFO;
SubdlvkOrVPUD Filing # Lot # Block # Lot Sq Ft
CMURt( N INFO: Total Building Sq Ft (natindutnng bammere) Total Garage Sq Ft
Residential Sq Ft Comm'1 Sq Ft # of Stories Bldg Height * DweNng Units
1° Floor Sq Ft 2n0 Floor Sq Ft 314 Floor Sq Ft Unfiished 6sint Sq Ft
Finished Bantt Sq Ft # of Bedrooms # of Full Baths VA Baths % Baths # of Fireplaces
Air Condi'doning: ye Energy Energy Info: ( c 1mie appropriate choke ) 1. Corrichuck ❑ 2. ResCheck wlAir. Sealing ❑
3. ResCheck wlBlower Door 4. Simulated Perforinanee Alternative S. Prescriptive w1Air Sealing ❑ G. Prescriptive yid Blower Dome
City of Fort Collins Stock Plan # ust appropriate option i s
UlnLJME.8iINFO,
Water Tap Size Sewer Tap Size Metered: Yes❑No❑ Temp. Pedestal Yes❑ No ❑ A
Type of Heat ❑ Gas nEledrie Electric Main Breaker Size (Residential only) DISO Amp or Less 0200er
Value of Construction (including labor, material & profiti X;ILV41P
DewAption of Work :.fe t roar 12_44 Ve O(ArV— 1 0., .,I„_o li • r b r
Contact Nam & Phone # of JORSWE SUPERVISOR: . JoL4".- ��c/e�.iC C712r "'17 -7c 7 . _
Electrical Mechanical
Framer
Roofing Concrete
Solar Other Other
Plumbing
Fireplace
- --- Other
Applicant 1 hereby edaiowladge that I h 9 this appiicetim and slate that the above infonneticn is coned and agree to comply with OR requirements
ra Wned heroin and City of Fart Cd r Iran state laws ngglllating building Conatrudlon.
Applicant Signature Print Name, b
LAS Phone � qai f t7-
white -office ' Yellow-Appptxnt Pink-WWW/Stamwater