HomeMy WebLinkAbout215 Cajetan St - Applications/Single Family New - 12/22/2005rA
� BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 0507cQ / 1 APPLICATION DATE
Job Site Address 1S Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name
Phone #
First Name Middle
Street Address City State Zip_
CONTRACTOR INFO: Company Name "A [ tV--C cVti.. RCWv -S DCOontractor Phone # y8 Z` 31 S S
Lic. Holder Name GA"" City of Fort Collins License # Supervisor Cert #
Mailing Address ?O Qa� a�o�3 City State 6o Zip 9?052'
LEGAL INFO:
Subdivision/PUD (��� -F(�?WLA 00(t Filing # Lot #___L_ Block #__y _ Lot Sq Ft 6264,7"Z
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Q04-7 Total Garage Sq Ft y80
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Residential Sq Ft �— Comm] Sq Ft # of Stories 9-Bldg Height � 1 # Dwelling Units
1st Floor Sq Ft
# of Bedrooms 14
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd 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. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option
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Water Tap Size 3 Sewer Tap Size — Metered: es or No Temp. Pedestal: or No
Type of Heat: /fq Gas ❑ Electric Electric Main Breaker Size (Residential only): F 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 14o2 7 82 A0
Description of Work: (V-e,,,J V,- ,,
nP-W ,-, ''0' f i1h A& LeA S v
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Contact Name &Phone # of JOBSITE SUPERVISOR: \)C1 C C q91 3f S5 Ce lI "s- - /71 0
Subcontractor Info:
Electrical !-/Y�f'�-yyl L:%c,elLC , Mechanical F'a�%(Jl�l'[_ �%i(�C.0 (�►J� Plumbing `�)
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Framer.Ut►tiS(,,, 6) v(; i-y OckRoofing 77 C.c�S Concrete \)I* \I WtiAmM'S 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 fi r Collins 90nance and state}aVs regulating building construction.
Applicant Signature / Print Name O C L v,,- Phone ZJ12 t �r
Distribution: White — ffice Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE