HomeMy WebLinkAbout6151 Carmichael St - Applications - 04/09/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
City of Fort Collins BUILDING PERMIT APPLICATION
Last
First _
Middle Phone
Ryland des
CD
Address Please Specify: LN. DR. CR. WY PL. ST CT. RD. AVE.
City State Zip Code
L
Company Name
LifensElVumber
�0066
Supervisor & Cert. #
0
L
Mailing Address
City
State Zip Code
C
O
cD
Pliffe
Please
Specify: LN. DR. CR.
WY PL. ST. CT. RD. AVE. Zip Code
6.151 Carmichael Street
Subdivi sion/PUD
R
CM
Filing Number
LotBlock
Lot Area
1
5830
Building Square Footage
Number of Stories
Building Height
s
2096
2
28,
LNumber
of Dwelling Units
Number of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. Ft.
1
3 2�
1.015
Stock Plan Number/Options
Radon
Energy Score/ E-Star/Air Sealing/Blower Door
1503 .1, 4
Y / N
y
Water Tap Size
Sewer Tap Size
Metered
d
Type of Heat:
Electric Main Breaker Size (Residential Only)
—[—Temporary
Electric Pedestal Requested:
❑iGas ❑ Electric
® 150 amp or less ❑ 200 amp El other
0 Yes ❑ No
(including labor, material, profit) $ 213,854 00
Description of Work:
SIngle Family Residence, 340 Plan, C Elevation, Full Basement,
2h Car Garage, Conus Room
avu Wiliaci name ae rnone gr:
Nuke Holz 303486--5000
Subcontractor Names:
Electrical TWo Electric Mechanical Fcxlr Ssasom Plumbing GtrfdErre Pjxubim
Framer mri (p xy Roofing cT pccfl 9 Concrete E�3W,. Gyrypj-P .
R
w
.Q
o.
a
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 ordinanceseod state laws regulating building construction.
Signature,
v
Print Name JJad;o M.; » Phone I 486 5
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE