HomeMy WebLinkAbout2608 Thoreau Dr - Applications/Single Family New - 03/29/2007BUILDING PERMITS RL INSPECTIONS ❑IVISION
P.O. Box 580 •Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER0 ( APPLICATION DATE
Job Site Address ,26,0AUnit # I
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # (`I WY), �3-0
Last Name a First Name Middle
Street Address city
% tc �� y ( State —Lb —Zip
�J -�J� � r � �! � � #�"�/t
CONTROf
ACTORINFO: Company Name y� . Contractor Phone #( 70 330 ", 4PO
Lic. Holder Name 11f C;�. n,L-CaLE1znn City of Fort Collins License # Supervisor Cert #
Mailing Address %� / l ii . �(� , l� cG�d 011 City State _ Zip ?a3(/
LEGALINFO: Subdivision/PUD 1 '�(�
-1(1,�3f �(�Q, Filing # Lot # Block #_ Lot Sq Ft 1Ci
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft _q_3�
.Residential Sq Ft /305 Comm'I Sq Ft # of Stories / Bldg Height_ # Dwelling Units
1st Floor Sq Ft /30 rJ 2nd Floor Sq Ft Unfinished Bsmt Sq Ft / Finished Bsmt Sq Ft _
# of Bedrooms 3 # of. Full Baths o2 %< Baths /2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door (DE -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 INFO:
Water Tap Size "3/y v Sewer Tap Size r Metered: ISor No Temp. Pedestal: es or No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only): 0 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material/& profit) $� �t�' 1/%,�VrjjG'_QQjt f d<71v QfKc/X
Description of Work: .2(6) �r �i 1��172�,./�.� ga2z' n�
0
Contact Name & Phone # of JOBSITE SUPERVISOR: /d OZ1 e a U 40 � 6270 "Zd� fZ9-" L29 /
Subcontractor Info:
Electricak,�tLV&. &;,tjCA,. Mechanical f /1 `_ L� nn� Plumbing
Framer VL r) Roofing Cvy9( Q td�JgL� ConcreteC�( - 6A, -Pl(%/t o, 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 2LA, Print Name LPG Phone • 5lfig- 707�
Distribution: White — Office Yellow —Applicant Pin c — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE