HomeMy WebLinkAbout1313 Blue Spruce Dr - Applications/Change of Use - 03/04/2008BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, CO 80522r522-05 0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER V `'' u i"' __7 APPLICATION DATE —
Job Site Address /3/3 ,Vae_ sprdUe %r Unit # /
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # >>D 63�' 63 91
Last Name UOCJ�/ // First
jName //.9 /✓ / Middle
Street Address ���� �7TC id� Se U/ . City y � 111)75 State elo Zip O �sa
CONTRACTOR INFO: Company Name ,VaA)(�- Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Add
City
LEGAL INFO: Subdivision/PUD lverf l w A'-G Filing #.
State Zip
Lot #__&�_ Block # 1 Lot Sq Ft O Gb 2-
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 4�S� Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 6S�0 # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: U No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2"d Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths '/< Baths '/2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. Conrl 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes 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)
Description of Work: 'UONe
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
G
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that I have read thi application and state that the above information is correct and agree to comply with all requirements
contained herein and City Fort Collis dinance d state laws regulating building construction.
Applicant Signature Print Name d PhoneO/%
_`:30�
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE