HomeMy WebLinkAbout4750 Pleasant Oak Dr - Applications/New Commercial - 04/07/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0590 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER �O I' APPLICATION DATE
Job Site Address `? 7So I%LEstS,44Nt Ow DjP t rF Unit # N A
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 0.2Q- - L10Z-
Last Name �G .J2iE First Name bD/Li %' "-Ayll Di/44ODCFL4
Street Address %8P87 E �ELLEI wO 060 City_ NGLEt j >r';j) State_(20 Zip 90
CONTRACTOR INFO: Company Name I�.Lyg�'�c�(�...e�,� Contractor Phone # 503- 777 - 3 e/4q
Lic. Holder Name S^n 6JC4 C.AEY' City of Fort Collins License # 13' Z30 Supervisor Cert #
Mailing Address 7.5. Ca/mAIl ao 51"Cet City l�cs✓tr State � Zip Ieozz3
LEGALINFO: J
Subdivision/PUD D/41 JI D&C _ JS UU * ga. Filing # �/Lot #_I— Block # Lot Sq Ft -22
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 16%t 4-3 Total Total Garage Sq Ft
/ l
Residential Sq Ft �77 �Comm'I Sq Ft '�' # of Storiesy� Bldg Height �j % , #Dwelling Units
151 Floor Sq Ft STI 2^d Floor Sq Ft ST�S/I Unfinished Bsmtt Sq Ft $ Finished Bsmt Sq Ft t�� etT
# of Bedrooms # of Full Baths /70 '/. Baths 6. /2 Baths 37 # of Fireplaces _ r
Air Conditioning: No Energy info: (Circle appropriate choice) 1. Cc Check 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO: I
Water Tap Size 3 Sewer Tap Size i6p Metered: (5)6r No Temp. Pedestal: Oor No
Type of Heat: TAGas RLElectric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp X Other
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Value of Construction (including labor, material &profit) $ �Jf ��� �%{3
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
IZ0-- 3/z-L/79,7ee�/
93 - 777 - %00'ce
Plumbing
Concrete
Other
Applicant: I hereby a!WVstrtb/ution:
d t " ap�pliiccation and state that the above information is correct and agree to comply with all requirements
contained herein and c and//"' lagulating building �nstryction, `s
C
Applicant Signature Print Name Phone
White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE