HomeMy WebLinkAbout1136 E Stuart St - Applications/Change of Use - 03/10/2006BUILDING 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
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APPLICATION NUMBER�Q� / `�{ APPLICATION DATE 3 _ / O
Job Site Address /13& B1 q LI Su tie
Unit # /Oa
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Aa I o?Qb LI
Last Name'D Ryo 60C p First Name Middle
Street Address 1 13(o E .54-gar-�- l o. r City r� 1W State Zip To 5Z5
CONTRACTOR INFO: Compaanny�Namecori C �� � 'w � Contractor Phone #
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Lic. Holder Name -Pk l t 1 I(/� �' '``e � City of Fort Collins
License # C, Supervisor Cert #
Mailing AddresjDOS �Q�b �� 4et_j City Ff `O (��State CO Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft
# of Full Baths
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units I*
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_ Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
- 114 Baths 'h Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
5. Prescriptive w/Air Sealing
List appropriate option #s,
Metered: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only)
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Value of Construction (including labor, material & profit) $ D 7 56
Description of Work: 10d La -+ co 0 YYl f i -(- -, C j
Alenvf�, V 14.""a P S
Contact Name & Phone # of JOBSITE SUPERVISOR:
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2. ResCheck w/Air Sealing (+(�
6. Prescriptive w/Blower Door
Temp. Pedestal: Yes or No
❑ 150 Amp or Less ❑ 200 Amp ❑ Other
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17=7-)1J—
Subcontractor Info: � �•
Electrical ��� Mechanical �� � Plumbing /0 �� 0 PU4.
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Framer Roofing Concrete Other
Applicant: I hereby owledge that I have re this application and state that the above information is correct and agree to comply with all requirements
contained herein a d Ci f F olli or ' es and state laws regulating buildin�cjnstructign..
Applicant Signatu Print Name /-�/f Phone j J� Z �-�
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE