HomeMy WebLinkAbout316 Cherry St - Applications/Addition or Alteration - 09/14/2009BUILDING 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 O ! 0 ✓ ✓ 6 U APPLICATION DATE — 7 — 0
Job Site Address 311, Cf%27 S � Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # / 20 S 3/-- 30 23 y
Last Name z�6r� First Name Middle
Street Address i�4? Z�l/ff%� IOIL' 'ez2 City State ce) 1 Zip f2OS 5
CONTRACTOR INFO: Company Name 60-V5 ►72J C.77a 1 Contractor Phone # �� �3/ 3C7 G�
Lic. Holder Name //011V/ 0 %><6/�/I f?f City of Fort Collins License # Supervisor Cert #
Mailing Address eiy City ' •iZ �f State 60/ zip
LEGAL INFO: Q /
Subdivision/PUD %Lr ( /�fKI! �wAI��e "t5Filing # Lot #— Block # Lot Sq Ft �O 46h
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) F5 3 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories_ Bldg Height # Dwelling Units
1 st Floor Sq Ft
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms C2 # of Full Baths % Baths '/2 Baths
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck
3. ResCheck w/Blower Door ' 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size
Type of Heat: f3 Gas ❑ Electric Electric Main Breaker
Value of Construction (including labor, material & profit) $
Description of Work:
# of Fireplaces LL•-
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Metered: Yes or No Temp. Pedestal: Yes or No
S'ze (Residential on y): ,Q 150 Amp or ess ❑ 200 Amp ❑ Other
itir) A eel iiv L 1j5 'ZqK LS I-L+c G L-)
Contact Name & Phone # of JOBSITE SUPERVISOR: 'IDAJ L' !A- i3KA YHdx�F - `] 7D - S 3 i- 3 c ?Y
Subcontractor Info:
m
4Q
Electrical L6V4t-'-)JNt-ve Mechanical �l.JLA— Plumbing MOK'61W el- Ljk'1 4,Av6 -
Framer 0J1j6- _/j-/S'Nctl'WdiX Roofing
Concrete
Other
Applicant: I hereby acknowledge that I have read this a6
IL44:_pplication and state that the above information is correct and agree to comply with all requirements
contained herein and City ort Collins ordinan sands laws regulating building construction.
Applicant Signature Print Name Q/\J i9 f AQI°/i41011-C Phone 47?o `% 31 3ogy
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE