HomeMy WebLinkAbout215 Pascal St - Applications/Single Family New - 08/22/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
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City of Fort Collins BUILDING PERMIT APPLICATION8a�,
APPLICATION NUMBER APPLICATION DATE /) ', to iVIO
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # —'j1�
Last Name �E �CA F-First Name_ A- Middle
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Street Address �� -�/)�.. City State -WA-- Zip
CONTRACTOR INFO: Company Name Ot ^�> Contractor Phone # 4^ 3D ^ DO( (
Lic. Holder Name �t City of Fort Collins License # Supervisor Cent # 2
Mailing Address �-74%6 �_ ,L 3� ,L City L&� State ro Zip �Q /0 IS>
LEGAL INFO:
Subdivision/PUD t/r-r,-> -TaWt k Filing # Lot #—I— Block #—G— Lot Sq Ft `t55o,33
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) [l UC� C7* . Total Garage Sq Ft
Residential Sq Ft LOCO Co12A S`OJC- q Ft d � # of Stories 2 �i Bldg Height �9 - 3 #Dwelling Units
1st Floor Sq Ft �,-2j\ 0 2ndFloor Sq Ft n///�� Unfinished Bsmt Sq Ft_1 Finished Bsmt Sq Ft o
# of Bedrooms *— # of Full Baths (/ 3/4 Baths 0 /2 Baths 2 # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing escriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s PA.
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered Ye r No Temp. Pedesta Yes No
Type of Heat: ❑ Gas l�Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less >(200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ con
Description of Work: rollfGTwis( OF A Zz Ci?Or..V 4j k LLa,-- rA"I %LL,
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Contact Name & Phone # of JOBSITE SUPERVISOR: �ANL,J Agvi
Subcontractor Info:
Electrical tJ191" Mechanical (��tE�L, Plumbing 'RCOP&"
Framer Roofing AojL .!, Concrete Other
Applicant: I hereby acknowledge that 1 have read 's application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort C s ces a d state regulating building construction. �/
Applicant Signature Print Name f►-� Phone ! 740- ?je*- 4Ot i
ributio White — Office Yellow — Applicant Pink —WWW/Storm ater
THIS AP4rLICATION EXPIRES 90 DAYS FROM APPLICATION DATE