HomeMy WebLinkAbout208 E Drake Rd - Applications/Addition or Alteration - 04/04/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
Citvof Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER Do/ C) I � APPLICATION DATE 1 1 ' 0 70
Job Site Address AU R(-� Coll l ij 0-6 KOSa5 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # LIP -
Last
Name Lvo(woo) First Name &'o r l t't Middle
Street Address gor r orwa r. CitA lflt� State
CONTRACTOR INFO: Company Name (kv-t"-lp(Or �uJ��.cl�"Of Contractor Phone # cl 71, 6 /Z- 64�/ l
Lic. Holder Name
City of Fort Collins License # Supervisor Cert If
Mailing Address , 95d R ,>"tyt Cit LD✓-[ /Gtnd
Y State do Zip �d,j Y
LEGAL INFO: p I �1
Subdivision/PUD �5001+ (�' (L�Q e(9h fJ Filing # 'f A
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
15t Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
4e,# %%
Lot # i/ Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths 'Y2 Baths # of Fireplaces _
Energy into: (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
UTILITIES INFO:A,
Water Tap Size lv /T Sewer Tap Size N r1 Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): All50 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $_ 5�,50 . 0 b
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: QQ
Electrical AU01 C�eC L Mechanical A) fid Plumbing _ 11/A
Framer Roofing _ i✓1A, 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 Fo,,rt Collins o inances and state laws regulating building construction.
Applicant Signature &�
Print Name-9- �� tiJ�! r-� Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE