HomeMy WebLinkAbout821 Peterson St - Applications/Addition or Alteration - 09/26/2005APPLICATION N
Job Site Address
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
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APPLICATION DATE 2_��
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Unit #
PROPERTY OWNER INFO: (All owner information is required - it is of optional) Phone #
Last Name �� �/ First Name Middle
Street Address ( P-C-4--rSrr,S City r, State_�X _Zip 52
CONTRACTOR INFO: Company Name ? Contractor Phone #
Lic. Holder Name
Mailing Address
LEGAL INFO:
Subdivision/PUD
City of Fort Collins License #
City State
Filing # Lot # Block #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq
1st Floor Sq Ft 2nd Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Supervisor Cert #
Zip
Lot Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft.
# of Full Baths % Baths '/z Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric
5. Prescriptive w/Air Sealing
List appropriate option #s
Finished Bsmt Sq Ft
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Metered: Yes or No Temp. Pedestal: Yes or No
Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
If . _
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowle ge 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 offort Collins r
nd state laws regulating building construction.
Applicant Signature Print Name / ( Phone
isWhite -Office Yellow - Applicant Pink - W /Stormwater
Mechanical
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE