HomeMy WebLinkAbout2626 Ashland Ln - Applications/Single Family New - 06/01/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
cityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 601C)134 -1-1APPLICATION DATE �il—1 -0 wI
Job Site Address d4 D2J2,-( & Unit #
PROPERTY
//OWNER INFO: (All owner information is required - it is not optional) Phone
Last Name �6 / U► ,`1��ae First Name Middle
State
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Street Address /aJ/ ✓% o�L% 40ano City e //
CONTRACTOR INFO:
Company Name /7 147 c .� j a c Contractor Phone # (f
Lic. Holder Name !a i C /�%ZLC_LL1 City of Fort Collins License # CJ-�%t{ Supervisor Certp# /�
Mailing Addressl)�/ iG uo` c?L C� City itZ L State Zip 6 ��
LEGAL INFO: �/�
Subdivision/PUD / ' a.0/, 1-4 1 Filing # n Lot # C Block # /0 Lot Sq Ft�
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Z, ar<.
Residential Sq Ft I . 'o Comm] Sq Ft "— # of Stories o2y-:;t, Bldg HeightJ6 # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft gln(, Unfinished Bsmt Sq Ft J 74!� Finished Bsmt Sq Ft
# of Bedrooms 3 # of Full Baths -q 3/< Baths — '/2 Baths # of Fireplaces
Air Conditioning: Yesj No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door (J�E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # 1749 List appropriate option #s
UTILITIES INFO:
Water Tap Size 314„ Sewer Tap Size Metered Yes or No Temp. Pedestal: es r No
Type of Heat: ,K Gas ❑ Electric Electric Main Breaker Size (Residential only): �150 Amp or Less 11200 Amp ❑ Other
Value of Construction (including labor, material & profit) $) y Q w �J`_i� A�IAI " (2 , t2-,,'�AQ
Description of Work: 7
Contact Name & Phone # of JOBSITE SUPERVISOR: J/�/X
Subcontractor Info:
l�11,,//
Electrica�Mechanical l"Y eli�u� Plumbing 1�trlt r> Jr / lla/lute / �
Framer O Roofing LY r 0 hid�!e/ Concrete 06L- 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. f/\\
Applicant Signature A0} Print Name `NI lU bayi E- Phone .3 lu`54�'C)
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE