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607 Cowan St - Applications/Multi Family New - 07/26/2005
BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER T2(% `ll/✓" I�2 APPLICATION DATE Job Site Address (0 Q`-+ Unit # PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # Last Names PsjA�y iZ 0at•A 1P_s First Name Middle Street AddressS i S i S �I a.EL—ice /��1 E # City ''r- LC:>l_L� 1 r'J S State CO CONTRACTOR INFO: Company Name ACM ES Contractor Phone #�- Lic. Holder Name ST�J �� 'SPAN & 2 City of Fort Collins License # G a _a Supervisor Cert # Cr Mailing Address SIa.,i S- nxA_e, -,a Ave k: A, City • &A-L-L State C-0 Zip S0s'-Xs LEGAL INFO: , Subdivision/PUD �4 ME 6JUQT roy4IJ AhMESFiling # Lot # Block # Lot Sq Ft , CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1 (D g SQ IFT. Total Garage Sq Ft �© Residential Sq Ft 9 lv r�`� Comm'I Sq Ft # of Stories_ Bldg Height 2 (O' # Dwelling Units 1st Floor Sq Ft 2'tSto 2nd Floor Sq Ft 'I?7 D Unfinished Bsmt Sq Ft b:O Finished Bsmt Sq Ft i # of Bedrooms # of Full Baths �_ % Baths '/2 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: +u l� Water Tap Size 1 Sewer Tap Size _ Metered: (9 or No Temp. Pedestal: es or No Type of Ileat: XGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp Other 4DO aril Value of Construction (including labor, material & profit) $ f 40 _ 1 Z O 62 e,A, 0 Description of Work: j A C 4 U r ky GOv \C` O b \-kkk 6\e1 w l h 401(\C� GGA-V" EW ' Contact Name & Phone # of JOBSITE SUPERVISOR: 'Sor,, v-, kt_r aa3 _D6 6 Subcontractor Info: Electrical _VAY -4-1 Mechanical (� G//^� � Plumbing �1►'�d�s Framer S"bei_k Roofing G� c(A Concrete pt erso V-1 Other_ 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 Print NameSV_JCN Uc MVX tP y- Phone Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE