HomeMy WebLinkAbout220 Pascal St - Applications/Single Family New - 06/08/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER BO `' v � � ` APPLICATION DATE [X O
Job Site Address 040 220 RASCAL Sir- Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone
r# Lj %0 - 9 92 — 3I.KT
Last NamepAL(AAblflh1 N'Dt1�S. I+JC . First Name KOOICA SLJE49-e� Middle
Street Address r.U• 1�n)C 71700.� City r-63T LDL.LW S State'D Zip 'V0S2'7
CONTRACTOR INFO: Company Name PPtI. Arbj+R' ACS JNQ. Contractor Phone # 970— y?2' 315:5,
Lic. Holder Namep'''(''( fl�J,��� 5��..�Ti�,� City of Fort._,C,,orlllliinss License # tJ S � 3 Supervisor Curti,#,
Mailing Address P.o. o)U Z%UOS3 City f—'OK (DL�.J9JS State COZip pV-S'Z7
LEGALINFO:
Subdivision/PUD �I�i ����� Filing # Lot #__�)� Block #__L4_ Lot Sq Ft�l. WZ.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2 �Z Total Garage Sq Ft g�
7 ?.(r
Residential Sq Ft Comm'I Sq Ft # of Stories Z Bldg Height # Dwelling Units
9. t0'1 d
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft b Finished Bsmt Sq Ftfp
# of Bedrooms L # of Full Baths 3 % Baths '/2 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. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size 44 Sewer Tap Size 14 Metered: Ye or No / Temp. Pedestal: Ye or No
Type of Heat: 1$(Gas ❑ Electric Electric Main Breaker Size (Residential only): ,,.,i 50 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 2 0� QK--S�
Description of
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Contact Name & Phone # of JOBSITE SUPERVISOR: K IK 16yOCr� - 4q3-3 l69
Subcontractor Info: N F�S
Electrical �( (A EI-CC- iZIC, Mechanical PIDVDRE VAU..CY Xi Plumbing 'S
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Framer�l�lrli► to UTI tSLOCSRoofing Tt,co K00Fli9G Concrete Other &W90 ►JOT��i
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 /l PN��� Print Name ���'� S. ��y� Phone q43— 31301
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE