HomeMy WebLinkAbout503 Edwards St - Applications/Addition or Alteration - 08/22/2005City of Fort Collins
BUILDING Pumas & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 8WZZ-05M • Phone: 221-6760
www fcgov cowbuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ►/ ✓ `(/ �L/ APPLICATION DATE
Job Site Address S° 3 E ;) wA R- U ST tee V- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 170 - 411 2 - I z 13
Last Name Vq LL A N Lr.. First Name 61-aO Middle _ Q4Y M •
Street Address 503 GDwR2A� $r2EEi City j'oP-- G+�L,NS State LO Zip
CONTRACTOR INFO: Company Name 614%'
v RL Lq N CX.-
Contractor Phone # C/ 70 - `7' 7 2 - t 2 t 3
Lic. Holder Name
City of Fort Collins License #
Supervisor Cert #
Mailing Address
503
5reacc r' City F-p-r S, State 6- • zip �'cls 2'I
LEGAL INFO•
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Subdivision/PUD
6 Q ft 9TS
Filing # 10 Z 19Lot #
Block # l y Lot Sq Ft 5410 o
`Vp�
CONSTRUCTION
INFO: Total Building Sq Ft (not including basement) /S 100
Total Garage Sq Ft IVA
4k
Residential Sq Ft
t5(, o
Comm'I Sq Ft
NR # of Stories Bldg Height
20 # Dwelling Units
1•t Floor Sq Ft
460
2nd Floor Sq Ft
bow^ Unfinished Bsmt Sq Ft IUD
Finished Bsmt Sq Ft
# of Bedrooms 3 # of Full Baths 2 % Baths D % Baths
Air Condltloning: Yes EnBrgy /rtfo: (Clmle appropriate c)oke) 1. ComCheck
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan #
Lr1tL�i1 __ . •
List appropriate option #s
O # of Fireplaces N'9
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Water Tap Size Sewer Tap Size Metered: av or No Temp. Pedestal: Yes or
Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only): 0150 Amp or Less Q 200 Amp Q Other
Value of Construction (including labor, material & profit) $?o, °d"
Description of Work: RA►SC Qaofi of 6x1S•r1NG. 2Pd1A6'.NTrOat L S?'R-c.r-jo-p , 46017-1d/-
W%DD APPR4-rcCoo S.'F hloMFivovnJEz2 I-j+a,L.
RC (s6Ns-A-p l (Ar+TR/}e- HMI!h &44 1. ('g2FaR/�'� d►Ifyjoi2,1-�/
v F wo a- c
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Ar'si ,jALLRti/CF,
Framer -"XCl Et r By , L 690-j
Mechanical &N `e N a t""" Plumbing
Roofing ATA A-J eeo F j Aj 6- Concrete 6+-9-` " �L L e4^iC6-ther
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 v- Print Name Phone q 7o, r Y77 - 1 2 13
Distribution: White - Office Yellow - Applicant Pink - VW WV1Stormwater