HomeMy WebLinkAbout215 Pascal St - Applications/Garage - 08/22/2006BUILDING PERMITS & INSPECTIONS DIVISION 10$
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
I of BUILDING PERMIT APPLICATION
APPLICATION NUMBER VV/0Oq0-)_ APPLICATION DATE
Job Site Address 21>Cj ?POaC./A S'` -f Unit # 2H�/c
PROPERTY OWNER INFO:: (All owner information is required - it is not optional) Phone # >0� -old/ ()
Last Name 64me A� C&A��a�W
irst Name WA Middle A
Street Address 156KA c- r CQh�'�(L f� City State *_Zip Pr -
CONTRACTOR INFO: }.Company Name `'F"'T 00 1`4:4n_ Contractor Phone # 1W - S404 • oo
Lic. Holder Name t City of Fort Collins License # Supervisor Cert #%qclac
Mailing Address City 12:0tA.rC:Q_ State Zip
LEGAL INFO: �y !! 22
Subdivision/PUD OLt> ouA 1�0f7t Filing # �61� Lot #_ 1 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft V5?i L—
Residential Sq Ft 'A— Comm'I Sq Ft T� # of Stories_ Bldg Height 1Il 2„ # Dwelling Units
1st Floor Sq Ft —� 2nd Floor Sq Ft C— Unfinished Bsmt Sq Ft b Finished Bsmt Sq Ft D
A ledrooms t / # of Full Baths D % Baths _ > '/Z Baths _C,) # of Fireplaces
Air Conditioning: Yes GD Energy info: (Circle appropriate choice)ptl. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptiv /w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size I`i IN Sewer Tap Size Metere Yes r No Temp. Pedestal: es r No
Type of Heat: ❑ Gas kElectric Electric Main BreALer Size (Residential only): ❑ 150 Amp or Less X200 Amp ❑ Other
a
Value of Construction (including labor, material &profit) $_ �, I o
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: --n'50M [' Wk- - AZD - 'SA¢
Subcontractor Info:
Electrical 1141"4a Mechanical Vel-A r.>Ir,-fit, Plumbing AV,'tc_
Framer Roofing �� Concrete jj��%IrAfn Other
A, ant: 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 C so s a d state s regulating building construction.
Applicant Signature Print Name %kC- ✓WIIE ' Phone �ZO��-601-601
Distributio White - Office Yellow - Applicant Pink - WWW/Stormwat
THIS AP ICATION EXPIRES 90 DAYS FROM APPLICATION DATE