HomeMy WebLinkAbout45 S Taft Hill - Applications/Change of Use - 11/05/2008BUILDING PERMITS & INSPECTIONS DIVISION
PO Box 580 • Fort Collins, CO 80522-0580 • Phone 221-6760
www fcgov com/buildmg
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER JDOILt' 1 IQ APPLICATION DATE I I /�✓I�1/I/(/
Job Site Address ' .5 S . 'iW4 TT'i'IL F+. CCIIPMS C,0 $D5,9-( Unit #
PROPERTY OWNER INFO (All owner Information is required —it is not optional) Phone #
Last Name No+_Lros r'n First Namelrant'Sl oty rand OII'VerCLMlddle D
Street Address 8� Q1 l pjacp Way{ Clty_r-0 T cotil" 1S State (2 O Do ( Q�
CONTRACTOR INFO Company Name dt,csh rers /ii-(,aY Contractor Phone #
Lie Holder Nam,
Mailing Address_
LEGAL INFO
Subdivision/PUD
City of Fort Collins License # Supervisor Cart #
City State Zip
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Budding Sq Ft (not including basement) Total Garage Sq Ft .5' / 2.
Residential Sq Ft 1`9a Comm'I Sq Ft # of Stones I Bldg Height # Dwelling Units I
Ist Floor Sq Ft 1428 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths �_ 3/. Baths /Y Baths # of Fireplaces
Air Conditioning Yes No Energy info (Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
3 ResCheck w/Blower Door 4 E-Star w/Blower Door 5 Prescriptive w/Air Sealing 6 Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO
Water Tap Size ex AA 11010, Sewer Tap Size e t Metered es r No Temp Pedestal Yes or No
Type of Heat /xGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $44jolu
Description of Work
Se
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical 'U Mechanical /t1(0. Plumbing M/ a'
Framer /✓i,/0. Roofing M 0. Concrete /VL 44- Other /�g-
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 Collins ordinances and state laws regulating building construction ,
Applicant Signature L/D7H62;Print Name O�Y� a 1VO4rOS Phone
Distribution White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE