HomeMy WebLinkAbout620 SPARROW PL - APPLICATIONS - 10/3/2017COMMUNITY 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�AHO IQAPPLICATION DATE �O
Job Site Address CaO Sparrow P�auL, FFof-V QVms Co 905�15 Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 1� ' ���' saa I
Last name LuM�L First Name R�� - Middle A yt
Street Address 6a0 S Posro-ou f 6p, City �G Cg%t's State C0 Zip 65as
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Address_
LEGAL INFO:
Contractor Phone #
City of Fort Collins License # Supervisor Cert #
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
ls' Floor Sq Ft
Comm'I Sq
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31 Floor Sq Ft
Unfiished Bsmt Sq Ft , ISIb
Finished Bsmt Sq Ft ) 04 S # of Bedrooms I # of Full Baths '/< Baths I '/z 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:
Water Tap Size Sewer Tap Size
List appropriate option
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) $ Z31IIX(NW J ' Sy
Description of
i, *- ,,, cuti
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
A G;
Mechanical `
Concrete.
Other
rc
w.rk .
Plumbing KP P6,..,6;,,1
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.
Applicant Signature ��li� Print Name "r+ LAer Phone 1I`) -a44 - S-Aa I
Distribution: White —Office Yeflow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE