HomeMy WebLinkAbout331 SPINNAKER LN - APPLICATIONS - 4/13/2015City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522.0580 • Phone: 970-221.6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER j -02 Ci�"'- APPLICATION DATE An • r • 2O(S.
Job Site Address 3
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone
Last name—) 0 ` First Name I r ILI I V1 / Middle /�
Street Address 3, �Rm `�� 1City l��III✓1S /State ��� Ziipp ( 15—
CONTRACTOR INFO: Company Name (fG� fJa'S BSI rV 1 �� Contractor Phone #
Lic Holder Name �I t � i/Q' 6,.+41 & City of Fort Collins License #��/i Supervisor Cert #A
Mailing Address I �h- / tff.) � r City � � �BIIUh State l 0 ZipIf
LEGAL INFO:
Subdivision/PUD Z� ��t 5 Filing # u Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) l o I�k+7+ �w5�1✓w Total Garage Sq Ft .1
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units _
1s' Floor Sq Ft 6% n2.w 2nd Floor Sq Ft 6,71 new 3rd Floor Sq Ft Unfiished Bsmt Sq Ft _
Finished Bsmt Sq Ft # of Bedrooms 2mw)# of Full Baths 1 KW % Baths '/z Baths # of Fireplaces
Air Conditioning: 0�p 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
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered• Ye or No Temp. Pedestal es or No
Type of Heat: PQ Gas ❑ Electric Electric Main Breaker Size(Residential only) ❑ 150 Amp or Less X 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ ;Ma ,5 To
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
�l7lJ SG7 "IyyS
Subcontractor Info:
Electrical /L VQ ljl�P IO' �t� {�Mechanical I iT2c y}] %1Plumb�i3ngA�1
Framer C ✓ 'J Roofing hDh D�Y7eie%jc Concrete gelrL�-nne rjoFireplace
Solar Other Other Other
Applicant: I 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 ;ii�nssrdin es and state laws regulating building co
ns ruction. � �r
Applicant Signature Print Name Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE