HomeMy WebLinkAbout924 RICHMOND DR - APPLICATIONS - 10/27/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgoy.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER U (Oa . 1t.� / APPLICATION DATE /tom -(P-7--r�k
Job Site Address /d % /"C y -tiI/%� ad, ✓4 Unit # ; 2Z
PROPERTY OWNER INFO: r(All owner information is required - it is not optional) Phone #
Last Name 511/Nr 00 First Name Middle �►�
Street Address 92 T �i c *4cry i 00e � �� 2 ciity� �i r n- � G(/ � %✓S !� State � cZ3ip D`"
CONTRACTOR INFO: Company Name
/ 1 r/".l c o (I �Y��/ / "� ``� Contractor Phone # 1 ! %12- 2470 12-6
Lic. Holder Name/",,�C1 L , �' ��'� City of Fort Collins License # D 53/ Supervisor Cert #��_
Mailing Address 326, Spaee Ll� 4cc City t 0 UC 04 State (f 0 Zip 5fnrw
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LEGALINFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO. Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft 70 )
# 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 #
UTILITIES INFO:
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric
List appropriate option
Metered: Yes or No Temp. Pedestal: Yes or No
Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
--N . -7--3_.
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Aff 4itvee- Of tie- Mechanical A/A Plumbing /"'t'Ke qch,-ef
Framer 9t��`' Z b / IVle- Roofing Concrete 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 Collin rdinan and state laws regulating building
�construction.
Applicant Signatur X Print Name 114, e3 1, G l llkl,� Phone
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE