HomeMy WebLinkAbout908 Pear St - Applications/Addition or Alteration - 05/19/2010BUILDING PERMITS 8t INSPECTIONS DIVISION
PO Box 580 Fort Collins CO 80522r0580 Phone 2216760
(mnhm�m www fcgov corn/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER J__ 11 0 301 APPLICATION DATE �✓ / / �fD
Job Site Address Rb$_� ___?fr- 4'-�11 91.111t Z5 /��(��l Unit #
PROPERTY OaWNER. IN-FOl (All owner information is required - it is not optional) Phone # f7p ?-�Z�I%i� '3%L
Last Name TJ�1NI�psN...rrr111 First Name Middle YVIejAj � �j�j
Street Address �x%_r rl,, Clty,LT//J S / State/,�ZZip~`,7__
CONTRACTOR INFO Company Name )� ry &DtA Contractor Phone # 4d 110,
Lic Holder Name City of Fort Collins License # Supervisor Cert #.
Mailing Address
State
Zip.
LEGALINFO n e�
Subdivision/PUD Y WAYj(1_JI NOW hd.F, Filing #_ Lot #__Z]_-) Block # of Fq
�Ft
frO CONSTRUCTION INFO Total Building Sq Ft ( t I d g be me t) / , Total G ag�1`-e Sq Lam`
Residential Sq Ft Comm I Sq Ft # of Stories Bldg Height # Dwelling Units
1 t Floor Sq Ft 2 d Floor Sq Ft e+
# of Bedrooms
Air Conditioning Yes
e
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
Water Tap Size
Type of He,/
Value of C6n/t
Description of W
Gr
# of Full Baths
Unfinished Bsmt Sq Ft10,S Finished Bsmt Sq Ft
/ Baths / Baths # of Fireplaces 2
Energy info (Circle appropriate choice) 1 ComCheck
4 E Star w/Blower Door 5 Prescriptive w/Air Sealing
Sewer Sap Size
Electric
labor material & profit)
List appropriate option
swad"Ri
2 ResCheck w/Air Sealing
6 Prescriptive w/Blower Door
or l% T�rt)p Pedestal Yes or
ial only) ❑ 150 Amp or Less ❑ 200 Amp
mo
M
Contact Name &Phone # of JOBSITE SUPERVISOR —1,0 F D Q J
Subcontractor Info
Electrical E 5 Mechanical �r�`� A" ' I Plumbing
Framer Roofing j Concrete Other
Applicant I hereby acknowledge that I ave read this application and state that t above information is correct and agree to comply with all requirements
contained herein and City of Fort C ke ordinances and state laws regulating building construction
Applicant Signature Print Name / w hone
Distribution White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE