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HomeMy WebLinkAbout263 Osiander St - Applications/Single Family New - 05/10/2007City of Fort Collins -beku,, ed garaj,,e BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 586 • Fort Collins, CO 8052U580 • Phone: 221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION q-17-0-7 Q 5-- /,o —c APPLICATION NUMBER ��� I\ �� APPLICATION DATE D Job Site Address r2lo3 ©Stan Aelr 8fyCC4_ Unit # rrrr PROPERTY OWNER INFO. (All owner information is required - it is not optional) Phone Last Na ma Qn 1Piy�`i�V� T-t-1 C» First Name (L �lLX — Middle ry Street Address Y' Q . % ta +OD`575 City Ob UAL15 �tState C /) Zip X S� CONTRACTOR INFO: Company NamQ D ad x ( ��wke-& ' � C.Contractor Phone # 71J' rTi�a• 3� Lic. Holder Name �1� M City of Fort Collins License # h5Supervisor Cert # O Mailing Address ..W� or TWS�J City State_ Zip Wa� LEGAL INFO: ,, I . I A Subdivision/PUD�r� I OU)A JJ&r k Filing # ' l n Lot #� Block #_ 5 Lot Sq Ft 319 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) I I4 Total Garage Sq Ft %� Residential Sq Ft 11142 Comm•I Sq Ft # of Stories Bldg HHeeigh�t # Dwelling Units / 1st Floor Sq Ft to2D 2M Floor Sq Ft Unfinished Bsmt Sq Ft --Finished Bsmt Sq Ft O # of Bedrooms # of. Full Baths _� % Baths D /1 Baths # of Fireplaces Air Conditioning: Yes . No //1, Energy info: (circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door t( �J 4.iE-Star w/Blower Door 5. Prescriptive w/Air Seaming �1 6. Prescriptive w/Blower Door City of Fort Collins Stock Plan # List appropriate option #s (�(- Df SYL7L/ to An, S ila QA.Q UTILITIES INFO: tt n Water Tap Size �g Sewer Tap Size `7 Metere es r No Temp. Pedest . es r No Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only): K150 Amp or Less ❑ 20 Amp ❑ Other Value of Construction (including labor, material & profit) $ 4 'J�r-�rL 613 (QQo -75n-70 Contact Name & Phone # of JOBSITE SUPERVISOR: 'r11;,, 'p e 0 0 Cg93- 3139 Subcontractor Info: Electrical�ff eAQMt iYL(. Mechanicalo �tG�iYC �h {�(.t t air Plumbing 7 ,,rSi�l �Dtrt ��y Framer�t,,71 Roofing CIitS�E � Concrete .S OtherojIIK JAlld&4 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 -Q� R/.� f Print Namr�lfll -.J• �U tx_ Phone '/'1'4:3 -:3 1 if) Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE 1 'd6G►,, � d �r 6?J,-e q -1-7 - 0-7 BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION PLICATION NUMBER-g U� _ - APPLICATION DATE Job Site Address ©Slandel 1 Unit # fI PROPERTY OWNER INFO: (_All owner information is required - it is not optional) Phone # Last Nam l��i LPly�`-j�(1Wli°S TAG First Name_l isM11 dirt , �.51Ly 1 Uf_ Middle Street Address Q i�DX t� OD�'� City��fSttaateCD Zip CONTRACTOR INFO: Company Name�(Y n P TO C.Contractor Phone # 7lJ' 47g;;• 3� Lic. Holder Name �,I.l -P OIi� City of Fort Collins License #� 5�. Supervisor Cert #,mac Mailing Address 0 --EWX 4-40o53 City State L_ Zip osa� LEGALINFO: Subdivision/PUD�J)U)A [Jar ;-k Filing # 1 Lot #_ Block #__ a_ Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) u"`T 2 Total Garage Sq Ft �%0 7 Residential Sq Ft I 142 2-Comm-1 Sq Ft # of Stories Bldg Height 2-44 I # Dwelling Units II 1st Floor Sq Ft tp2� 2nd Floor Sq Ft � Unfinished Bsmt Sq Ft . 60�inished Bsmt Sq Ft # of Bedrooms # of. Full Baths _� % Baths D /: Baths # of Fireplaces Air Conditioning: Yes *,No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door ((4.1E-Star w/Blower Door 5. Prescriptive w/Air Seaming �J L6�. Prescriptive w/Blower Door City of Fort Collins Stock Plan # J List appropriate option #s /�f - 10 �YTU W2l ta(C a UTILITIES INFO: {i I In Water Tap Size Sewer Tap Size `T Metere es)r No Temp. Pedest es r No Type of Heat: gGas ❑ Electric Electric Main Breaker Size (Residential only): 0150'Amp or Less ❑ 20 Amp ❑ Value of Construction (including labor, material & profit) $ _q`Jj 6!& Description of L Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: `r- Electrical�far�gM f je Mechanics �G Vl�LIA Q Plumbing t 'S Framer S6O11AI �LfRoofing C.0'5 v> Concrete 5 Other�t(lrd�_ 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. l' Applicant Signature :�_ �— Print Nam �1171 �- -.>- Phone 443-:3 Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE