HomeMy WebLinkAbout1907 Pecan St - Applications/Addition or Alteration - 09/29/2009BUILDING 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
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APPLICATION NUMBER APPLICATION DATE �CQ1��bt 1IWl
Job Site Address 110 kcow\ F�c ?O; air Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name f-a;k tJ S Lil c. First Name
Phone # Ot 70-
Middle
Street Address X30? sn.-a 14A, City R- State CO Zip Fals)4'
CONTRACTOR INFO: Company Name Contractor Phone # 9?b-3?? - q-q (-
Lic. Holder Na e City of Fort Collins License # _ Supervisor Cert #
Mailing Addrerss cZ71 1!1I City2"State Zip Vow 7
LEGAL INFO: ,, p M Iv. \'[ `
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Subdivision/PUD STx�s kFiling # Lot #-a-l-
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq Ft 9 q,3 q
Total Garage Sq Ft
M
Residential Sq Ft r1gak0 Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units q_
1st Floor Sq Ft 11-116-� 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms ZS # of Full Baths / 3/4 Baths 1 8 ' '/2 Baths -6— # of Fireplaces -'GL
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
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 #s
Water Tap Size N%�- Sewer Tap Size i►f ] Metered: 'e or No Temp. Pedestal: Yes or CO)
Type of Heat: * Gas ❑ Electric Electric Main Breaker Size (Residential only): 1k 150 Amp or Less 11200 Amp ❑ Other
Value of Construction (including labor, material & profit) $�;� p0
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical Plumbing
Framer,.ZeW0Ztq& Roofing 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 rt Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name � �//C�� may- Phone ca " 'y� Alf -I
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE