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HomeMy WebLinkAbout117 Buckingham St - Applications/Garage - 10/03/2006City State Zip Filing # Lot #-J-P_ Block #�_ Lot q Ft 00 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft % Residential Sq Ft Comm'I Sq Ft # of Stories— Bldg Height /G i # Dwel Units 1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq # of Bedrooms # of Full Baths s/< Baths % Baths # of Fireplaces M Air Conditioning: Yes No Energy into: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. E-Star w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Water Tap Size N LA Sewer Tap Size U1,4 Type of Heat: ❑ Gas ❑ Electric Electric Main Bre Value of Construction (including labor, material & profit) $_ Description of Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer BUILDING PERMITS & INSPECTIONS DIVISION w„ P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 WWW.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER �APPLICATION DATE fo �3 ✓S� Job Site Address /�7 �3uc/!.'�a�(,a,•t -r Unit # t�/ PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #g�_1g0'3s t 1C�, � Last Name— First First Name U► 1hA /��L Middle / Street Address �� r Vt S � CitY--- I14-� State W Zip 105-;Ll CONTRACTOR INFO: Company Name &P ftL ✓�1,rA Contractor Phone # Lic. Holder Name City of Fort Collins License # Supervisor Cent # Mailing Address LEGALINFO: Subdivision/PUD Mechanical 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door (�Q List appropriate option #s Metered: Yes or No Temp. Pedestal: Yes or ©° Size (Residential only): ❑ 150 Amp or s ❑ 200 Amp 91 Other Plumbing Other Applicant: I hereby acknowledge that I h read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of F rt ollms dinances state laws regulating building construction. 1, I Applicant SignatureA6;�Print Name _(,ji1W�j [L!IjtYjq Phone -3S i istribution: White — Office Yellow —Applicant Pink — WWW/Stormwater Roofing Concrete THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE