HomeMy WebLinkAbout3665 John F Kennedy Pkwy - Applications/Demolition - 01/05/20041
NA
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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Last Fir.
CS-e,i l h s
Middle Phone
aD 9-9g00
03
Street Address Please Specify: LN. DR. CR. WY.
. ST. CT. RD. AVE.
City State Zip Code
SS P— Mon co-
�4' 6o(I((jS
6o 91-0S2 J
L
Company Name
C0� �e �if nor
License Number
-INN F_-69
Supervisor & Cert. #
0
Mailing Address City
1�c«kv��� , Ck
F� Co II�r�s
State Zip Code
CD E0SZS
.300�
6
Phone D 1 —I 7? l
Please Specify:
LN. DR. CR. WY. PL. ST. CT. RD. AVE. Zip Code
.� FK �IcW� 93�a� � 1 su��e 30�:
C
Subdivision/PUD
( � _ "YU
K�
T)1� _
I Y l -o
CM
Filing Number Lot
Block
Lot Area
Building Square Footage
Number of Stories
Building Height
C,
0
ts
Number of Dwelling Units
Number of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. Ft.
N
C
Stock Plan Number/Options
Radon
Energy Score/ E-Star/ Air Sealing/Blower Door
Y/N
coWater
Tap Size
Sewer Tap Size
Metered
2
=
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
❑ Gas ❑ Electric
❑ 150 amp or less ❑ 200 amp ❑ other
❑ Yes ❑ No
(including labor, material, profit) $ as 5 p
Description of Work-
D_,-_�,"\o non ko A b eark"3 LiA S
Job Contact Name & Phone #:
Subcontractor Names:
Electrical Clcc VC Mechanical N / 14— Plumbing Ails'
Framer
Roofing
Concrete
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE