HomeMy WebLinkAbout6008 HUNTINGTON HILLS DR - APPLICATIONS - 5/18/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER I O Z lY V 2 APPLICATION DATE 5 r 1 8 r' &
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 57�
Last nameZq7rddz/�- First Naamed S77--C, . Middle
Street Address 6bC7k fQ�j'ia✓A i✓ �/16 L)[/ Cityt: C-9 State Zip
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CONTRACTOR INFO: Company Name 5E-L E-C� %'��/� Y1/ S Contractor Phone
Lic Holder Name I ___I t//.. City of Fort Collins License # C Supervisor Cert #�
Mailing Address �� �Z �J �VtJA1" Sa: ,h1' City (A7IA Sr2f� State C-41 Zip
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Filing # Lot #.
Residential Sq Ft 2, 1 ()— Comm'I Sq Ft # of Stories Bldg Height,
Is' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3rd Floor Sq Ft
Block # Lot Sq Ft
_ Total Garage Sq Ft
# Dwelling Units
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 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 #
UTILITIES INFO:
List appropriate option #s
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) $
Description of Work: ��oT n,iN Z,� L�d✓�I' n� 1 �l'v� s jl� Ir✓
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Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer �)E i' 1SC 17R-zLje<oofing
Mechanical
Plumbing
[ [�� �1' C 11 & Fireplace
Concrete
Solar Other Other Other
Applicant: I hereby acknowl ge tha ha r d this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Coll' s or ' nces and state laws regulating building construction.
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Applicant Signature Print Name Phone j2e) �
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Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater�
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE