HomeMy WebLinkAbout6939 BARBUDA DR - APPLICATIONS - 10/23/2018City of
�F6rrt Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER -1\ 3U APPLICATION DATE 16-V
Job Site Address (19)1 dA(hN)A Drive- Unit #.
PROPERTYOWNERINFO: (All owner information is required -it is not optional) Phone #
Last name Il First Name Lol Middle A
Street Address w)l &Atjo, Ul11)t Cityfof� (C,163 State-Loo-Zip d S
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing
Contractor Phone #
City of Fort Collins License #.
City.
Supervisor Cert #
State Zip
LEGAL INFO: ` l
Subdivision/PUD ,J4a�'Idn Giee K Filing #_ Lot # Block # Lot Sq Ft q,106
CONSTRUCTION INFO: Total Building Sq Ft (not including
Total Garage Sq Ft
Residential Sq Ft Comm'] Sq Ft # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft
2nd Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft'3L/ � # of Bedrooms 0 # of Full Baths -P— 3/4 Baths _.� _ '% Baths 0 # of Fireplaces d
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 # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered Yes or No Temp. Pedestal Yes or No
Type of Heat: MfGas ❑ Electric Electric Main Breaker Size (Residential only) 2(150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
of Work: fIAISkIAA Oa/�" ad- " tkrj ')A)
0
Contact Name & Phone # of JOBSITE SUPERVISOR: Rue" b6�
Subcontractor Info:
val
Electrical Nhv 0 WAtr Mechanical Plumbing Notn[d luAG-/'/f
Framer Norna.0Wr6-_r Roofing A Concrete Fireplace A
Solar A 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 fins ordinanc nd state laws regulating building connnstruction.//�� /
Applicant Signature Print Name J Vetvl 1Jlez �l Phone 6S�^S9�'��
Distribution: White -Office Yellow -Applicant Pink-WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE