HomeMy WebLinkAbout902 W Drake Rd - Applications/Addition or Alteration - 03/07/2007BUILDING PERMITS & INSPECTIONS DIVISION
y� P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
61- www.fcgov.com/building
City of Fort Collins �A7 BUILDING PERMIT APPLICATION
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APPLICATION NUMBER APPLICATION DATE
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Job Site Address C(O Z 1�.1, Orlx{�� R�, ()I1; �- 4 y Unit #
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone #(7.740 ZZ2b ��D
Last Name First Name_ W/ Middle Alld
Street Address '9030 -S• 4LzzA w7,4ya;. City, /��(e,&K State
CONTRACTOR INFO:Company Name I- _cferts t LAC Contractor Phone # 9fI2 - �9sg
Lic. Holder Name S�City of Fort Collins License # #-/Z00 Supervisor Cert#
Mailing Address P[)C [g City• Colkjn$ State_ Zip 05 ZZ
LEGALINFO:
Subdivision/PUD d�-1Rl.G1/!�s✓Ce� 7 Filing # Lot # CO Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft
Comm'I Sq Ft
# of Stories Bldg Height
# Dwelling Units _
1st Floor Sq Ft
2nd Floor Sq Ft
Unfinished Bsmt Sq Ft
Finished Bsmt Sq Ft
# of Bedrooms
# of Full Baths
% Baths '/2 Baths
# of Fireplaces _
Air Conditioning: es
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
6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES Tap
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Water Size Sewer Ta Size Metered: Yes or N em a st i,
Type of Heat. ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 20 Am Other
Value of Construction (including labor, material profit) $ 1in.�W
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Description
Contact Name & Phone # of JOBSITE SUPERVISOR: lR P
Subcontractor Info: p /
Electrical Mechanical r(u (4 S4�TCrKS IC. Plumbing -
Framer Roofing Concrete Other
Applicant: 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 Collins ordinances and state laws regulating building construction. . .
Applicant Signature Print Name Jty Phone 9 ('72'-7 f`'8
Distribution: White - Office Yellow -Applicant Pink - UWWV/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE