HomeMy WebLinkAbout603 PRICHETT CT - APPLICATIONS - 7/13/2016COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
C9eIf &
F6rt Collins
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
wvvw.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER � 0395 ✓ APPLICATION DATE 0 16
Job Site Address 603 Prkhtfl-6+ EOY-Collins , CO 905a5 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 10-gr7g-,5UsAaI
Last name W I G First Name J&IWw Middle ►�lalul
Street Address 603 City Fd 0-W hi)s State cD Zip 0 osa
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Add
LEGAL INFO: /�
Subdivision/PUD R41e 004 4111S
Contractor Phone
City of Fort Collins License #
City
Supervisor Cert #,
State Zip
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm1 Sq
111 Floor Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished Bsmt Sq Ft 8
Finished Bsmt Sq Ft L140 # of Bedrooms l # of Full Baths 3/ Baths _L_ '/. Baths # of Fireplaces
Air Conditioning: Yes-gNon Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
or t
Water Tap Size 3l y- Sewer Tap Size 7 (� Metered: Yes 14oFl Temp. Pedestal Yes❑ No
Type of Heat: [A Gas Electric Electric Main Breaker Size (Residential only) E150 Amp or Less M200 Amp Other
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Value of Construction (including labor, material & profit) i�T bba_ , �t ✓�
Contact Name & Phone # of JOBSITE SUPERVISOR: )�ek�q t e6l opG gr7()_gt-1q- o53
Subcontractor Info:
Electrical Mechanical Plumbing
Framer
Solar
Roofing
Concrete
Other Other
Fireplace
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 Collins ordinances and state laws regulating building construction. f
Applicant Signature Print Name r `�`L Phone q q°-qr7 8-g5?
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE