HomeMy WebLinkAbout6215 SAKER CT - APPLICATIONS - 6/9/2017City, of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Coili1M s 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416_2740
www0egowconr/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER -51 767Jowo APPLICATION DATE ,111N O 9 20V
Job Site Address 6 ] 2 1�4 - CT, Unit #
PROPERTY OWNER INFO: (All owner information Is required - It Is not opIt optional) Phone # � 17 - 3 3 ?' - 5W fF
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Last name Z a h a D fF First Name / 4 i .0 Middle K
Street Address� S2 City & ✓'T Co l Q i r State C O Zip 970 S),f
CONTRACTOR INFO: Company Name Contractor Phone #f ?�a-d Fitt - 19 ? 0
Lic Holder Name 8a re PA to ma M a City of Fort Collins License # If I - 13 Supervisor Cert #
Mailing Address Flo i1-a,;L Cr City6,1-z"'Ita..,$Z State GU Zip�rD;i��
LEGAL INFO: Subdivision/PUD Gr-4T-er Fa ✓.n Filing #�_ Lot #__3_ Block # 1 Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (Trot Including basement) Total Garage Sq Ft
Residential Sq Ft Comml Sq Ft # of Stories Bldg Height # Dwelling Units
1" Floor Sq Ft
Finished Bsmt Sq Ft -14ro
Air Conditioning Ye4c
3 ResCheck wBlower Door Ij
4
City of Fort Collins Stock Plan #
2n' Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft _1-1 V
# of Bedrooms I # of Full Baths 0_ % Baths I '% Baths o # of Fireplaces O
Energy lMo: ( C6de appropriate choice) 1 ComChecklj 2. ResCheck w/Air Sealing 11
Simulated Performance Alternative[] 5 Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door
List appropriate option
UTILITIES INFO:
Water Tap Sizee Sewer Tap Size Metered- Yes ONE] Temp. Pedestal Yes❑ No R9
Type of Heat- I X t Gas E]Elecbic Electric Main Breaker Size (Residential only) Ill50 Amp or Less1:1 200 Amp DOther
V ob
Value of Construction (including labor, material & profit) $� 6�r 6 /f►
Description of Work: iee r✓ tirlowt 7'n. ir6 % Sri cL�J✓ &Oy"1-54 /lenv►r .V.1WM
1- .3/u 8471� r I rs.- R �0 03
Contact Name & Phone # of JOBSRE SUPERVISOR:
Electrical gCr 61 C-Ldga'fr; G
Framer �D o % b =1 Roofing _
Solar
Mechanical ALL Sos/or f fl.Ajw &J A) r Plumbing z�d L oral n
Concrete
Other
Fireplace
Other
Applicant. I hereby a edge d this appkcalion end state that the above information Is correct and agree to comply with all requirements
contained herein end o Ilin o in oes and state laws regulating Dwtdingconstiuetion
Applicant Signature Print NameQA s-t `�`2u'rznite�Zo 2-L�O LC�
Distribution White -Office Yellow -Applicant Pink -WWW/Stomiwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE