HomeMy WebLinkAbout202 Edwards St - Applications/Addition or Alteration - 07/13/2006BUILDING 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
APPLICATION NUMBER /30 �o 3yo APPLICATION DATE I 'O (p
Job Site Address ,,,� �,v („j f'�pZLS' �T Unit #
PROPERTY OWN/DER INFO: (All owner information is required — it is not optional) Phone # "176 k
Last Name i _L�/�`t First Name � l ^►� � � � P Middle -
Street Address 270 �, IL �1 ce-Fum _� City V' �" L rim State C ( Zip OV�,�L
CONTRACTOR INFO: Company Name M /k"( cContractor Phone # **��
Lic. Holder Name``f� L f L City of Fort Collins License #_EL_E_.`�—C. Supervisor Cert #
Mailing AddressV CY 6�-aoclC(, City" �(�,) State_ Zip f052_'(M
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
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 Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 1/4 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
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: r. n . 1 �! S n �� �., c✓� ,.�. /1 .� _ .. / , _ „ .
,. a . _•
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Contact. •- - -
Subcontractor Info:
Electrical i� L(.E} /►-1'� e4j_( ri(4dechanical
Framer
Roofing
Concrete
Plumbing 80e*3E, f0C,()Ml?1,�
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 Fort C lins ordina e d ate laws regulating building construction. / 1
Applicant Signatur Print Name ffr 0, Phone q�_ f(i,
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE