HomeMy WebLinkAbout7314 Avondale Rd - Applications/Addition or Alteration - 07/02/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www fcgov conVbuilding
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE_ O
--Job Site Address 731q Aypj%t_er RL--.) Unit#
/['ROPERTY OWf NER INFOa(All owner information is required - it is n t optional) Phone # ! 7p "Z3Z - 9 & 3/
/
Last Name l O>Je,First Name Middle j-/e 4gn c is
Street Address J f � G'i1f ZNA rGE` !Z/7 City !: . (p'll�h e., StaterDZip��
Company Name
Contractor Phone
Lic. Holder Nam City of Fort Collins License # Supervisor Cart #
Mailing Address State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq
Comm, Sq Ft
# of Stories Bldg Height
# Dwelling Units
19+ Floor Sq t F
ooCSq Ft
Unfinished Bsmt Sq Ft
Finished Bsmt Sq Ft _
# of Bedrooms
# of Full Baths
% Baths 'r4 Baths
# of Fireplaces
Air Conditioning Yes No
w/Blower Door
City of Fort Collins
Energy Info: (Circle appropriate chace ComChec
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
2. ResCheck w/Air Sealing
w/Blower Door
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pee or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
—Value of Construction (including labor, material & profit) $ fi' . _ � ' / =
-� Description of Work: S X/ � ,cf - C` `dQ� 6(�,1(� . to L �'
/� 1V( V V)L,r ri U.1AC4PA -, A✓d
Name & Phone # of JOBSITE SUPERVISOR:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete 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 Print Name Phone
Distribution: White — Office Yellow —Applicant Pink — VWWV/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE