HomeMy WebLinkAbout2662 Thoreau Dr - Applications/Single Family New - 03/29/2007BUILDING PERMITS & INSPECTIONS DIVISION
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 / 0/ 95 � APPLICATION DATE
Job Site Address k. .0 ,,t _ Unit # —
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone 4970)330 `54eo
Last Namelj7 First Name Middle
Street Address 7-225/ L2. �2'7_�5, City (77)Li Ph 1, State zip M
CONTRACTOR INFO: Company Name A,i/h a.r , �i Contractor Phone # (97O)_330--�qpn
Lic. Holder Name C)( PJ'lC.Pj lzud- �., City of Fort Collins License #� Supervisor Cert #
/I.'? I
Mailing Address`745/ Id.,,-91 CityC'7.-e-b�_ State ro zip 0 y
LEGALINFO: / Cr
Subdivision/PUDT n:�iQv `(-�% a-e Filing # - Lot #� Block # 'I_ Lot Sq Ft 5990
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) � /iJ Total Garage Sq Ft 600 '
Residential Sq Ft /405 Comm'I Sq Ft # of Stories_ Bldg Height_ # Dwelling Units
1st Floor Sq Ft 54J //3S 2nd Floor Sq Ft -�O ''Unfinished Bsmt Sq Ft , _ `— Finished Bsmt Sq Ft ° 14
# of Bedrooms # of. Full Baths 1/4 Baths /z Baths # of Fireplaces
Air Conditioning: es No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door �E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # EM2 List appropriate option #s 'l /
UTILITIES INFO:
Water Tap Size 3/4/ Sewer Tap Size Metered: es or No Temp. Pedestal: es or No
Type of Heat: 'Gas ❑ Electric Electric Main Breaker Size (Residential only): X150 Amp or Less 11200 Amp ❑ Other
Value of Construction (including labor, material & profit) % ,V "f 366 zZ,t6r-LI-k), iJU Q l r, kli d A., , 27,, .
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:Cave )aye 1 .L-h,La,La k) N7 ) &,-3 02 - (2M f
Subcontractor Info:
Electricals ,t/Q.GiT, i e,
ti M/��{LAiy�,/�echanical 1 t l �((/JLs ar;-. 9Y [!%L Plumbing % L�C)
Framer l.) Roofing I Xv/c �r,. Concrete (/�CG2�-Ci-PLCGCt 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�°O I' Print Name ' ` Phone .3J.:�` 70XJ
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE