HomeMy WebLinkAbout713 Duke Sq - Applications/Addition or Alteration - 05/16/2008BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522.0580 • Phone: Z21-6760
www.fcgov.com/building
CityofFort Collins
BUILDING PERMIT APPLICATION
APPLICATION NUMBER V U O ✓Qr APPLICATION DATE
Job Site Address DLrIe-E SQ - Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 940 S'8'Z— '-/8775
Last Name L.OGKr=Z First Name ?-HN,F- GEc7?-al R Middle
Street Address 113 r,>u i-E City FcT,= " C-0"-1^33 State Zip 805Z5
�i�ECiH�r7,_,�n CONTRACTOR INFO: Company Name Contractor Phone # cj I:TO 75
Oy
Lic. Holder Name TO hfN 1% G20'6E� City of Fort Collins License # .D2ii' 6 Supervisor Cart # ZI S,9
I Mailing Address I q Dyy S SQ CityFo -r cc �L NS State co Zip 59OL5 �
LEGALINFO:
6
Subdivision/PUD l/�{� ULir2'i'J f!aF—lc Filing # 3T Lot #� Block # Lot Sq Ft� O5I
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) /9 I Z Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Z. Bldg Height # Dwelling Units Sl"e tE
1� Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: dig9 No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing , O
3. ResCheck w/Blower Door 4. E-Star w/Blower Door CK)Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door V`
City of Fort Collins Stock Plan # List appropriate option #s M
UTILITIES INFO: )
Water Tap Siz \
d`l'�7�yArtDSewerTapSizeSTWNnsH+,p Metered: or No Temp. Pedestal: Yes or �o
Type of Heat: 6(Gas ❑ Electric Electric Main Breaker Size (Residential only):' 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 5ar ocb
Contact Name & Phone # of JOBSITE SUPERVISOR: ,ToH^j Tom. 6;IZ08 E z
Subcontractor Info:
Electrical DEL-A"5 Mechanical G"57LY✓1 /I&1-1 KI'lumbing /W &ZG,14iV )P/-U1✓I91&6`,
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that I have read this application and stale 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 wristruction. y� -�1
Applicant Signature �%t-. L�. �l� Print Name T HPJ 0. G%LUs�°(� Phone 940 Z.7Z f(
Distribution: White - Office Yellow -Applicant Pink - WNW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE