HomeMy WebLinkAbout908 Pear St - Applications/Shed - 07/13/2011city
}off COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6r` Collinsll281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE :;� -13 - (
Job Site Address q00 p4w G, � _W Unit #,
PROPERTY OWNER INFO: II owner information is required - it is not optional) Phone # fl ZZ 43,n
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Last name—BRIA First Name (�is/-iv/ 4<; /ng Middle V_(.�
Street Address 7-,Dtak''L- City [ w�4bzs State _Zip
CONTRACTOR INFO: Company Name T fpn Contractor Phone #
Lic Holder Name City of Fort Collins License # Supervisor Cart #
Mailing Address City State Zip.
LEGAL INFO:
Subdivision/PUD pl%ry_ttf- V jL L�1F Filing # Lot#
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq
1s' Floor Sq Ft
Finished Bsmt Sq Ft
21 Floor Sq Ft
Block # Lot Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/z 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. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical R.U.o (e*I Mechanical
Framer
Solar
Roofing
Other
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby ackno that ave read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit of fmditoe and state laws regulating building construction.
Applicant Signature Print Name Phonec--4o7&--
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormw,Ater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE