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HomeMy WebLinkAbout803 Blondel St - Applications/Multi Family New - 04/23/2007City of Fort Collins APPLICATION BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box580 • Fort Collins, CO80522-0580 • Phone:221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION 60 / V A5- APPLICATION Job Site Address qa3 t5lp"-A 5�-, Unit # 10( PROPERTY OWNER INFO: (All owner information is required - it is not ,optional) Phone # 'T6 Last Name K`5 r First Name L�CrW 1C �+� Middle CO Street Address LLk � f � I � � �l f hip `Je-i` City LD� ` S State l >•� Zip _ CONTRACTOR INFO: Company Name ►� irkk '�S Contractor Phone # Lic. Holder Name �jU�or'e' o City of Fort Collins �License # Supervisor Cert # Mailing Address tC 1��JJ City[ 1S �{/M" State_ Zip4��o`Z LI LEGAL INFO: lyl Subdivision/PUD NO 1`k� �J Filing # Lot # Block #�Lot S_, ` ,t 1 ?dy3 �1.1�JIS��►•� Q ^gf �Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1� Total�G7aragq Ft IV Residential Sq Ft Comm'I Sq Ft 5100 # of Stories Bldg Height # Dwelling Unitsl c� 1st Floor Sq Ft 3� 2nd Floor Sq Ft o�� Unfinished Bsmt Sq Ft 'V !T Finished Bsmt Sq Ft NA # of Bedrooms # of Full Baths © % Baths 9 % Baths # of Fireplaces Air Conditioning: Y s No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. E-Starr w/Blower Door . Prescri tive w/Air Sealin 6. Prescriptive w/Blower Door City of Fort Collins Stock Plan # U List appropriate option #s UTILITIES INFO: 11 ,jq Water Tap Size �_ Sewer Tap Size "1 Metered Yes or No Temp. Pedestal: Yes or No Type of Heat: q� Gas ❑ Electric Electric Main Breaker Size (Residential only): X150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material 1& profit) $ 3, t5`1� Description of Work: Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical 17� Mechanical {AQ k p Plumbing PIV�i/�1 Bat Framed-�t17tT � Roofing Concrete r ^CDAC"IkLOther Applicant: I hereby acknowledge that I have read this application and state hat 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 Phone ;Z31 -a3S5 Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE