HomeMy WebLinkAbout634 S Grant Ave - Applications/Addition or Alteration - 12/22/2008BUILDING PERMITS &L INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
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www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER V eO We �� ] APPLICATION DATE
Job Site Address !C a � % -- . Unit # _
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name Zn� c) First Name Middle
Street Address
City State Zip,
CONTRACTOR INFO: Company NameContractor Phone
Lic. Holder Name- City of Fort Collins License # Supervisor Cert #
Mailing AddressCity 'rf'��1_6 �� StateZip ,
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft 'ICC)
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft 'I (DC0 Comm'I Sq Ft.
1 st Floor Sq Ft i ?==CQ 2nd Floor Sq Ft
Total Garage Sq Ft
# of Stories_ Bldg Height # Dwelling Units I
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths t/z Baths # of Fireplaces
r ,�1
Air Conditioning: es No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air SealingtL
) �
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
4. E-Star w/Blower Door
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5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s v `
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Br�ker Size (Residential only): �150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $%g .
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical` MechanicalPlumbing QUA�E"PEV-n
Framer Roofing Concrete ����Lj`j Other
Applicant: I hereby ackn a th ave rea his application and state that the above information is correct and agree to comply with all requirements
contained herein an ity of ort C lin o inane and state laws regulating building construction.
�istribu-llov-I White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE