HomeMy WebLinkAbout323 E PROSPECT RD - APPLICATIONS - 12/13/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
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City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER ' . l l(, �1 �/ APPLICATION DATE
Job Site Address 323 E- PROSPECT, FT. rpT j l*N Unit
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PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # ��l % •}y rS / /�f t
Last Name NEIDERT First Name DENNIS T. AND r_Avr.F diddle
Street Address PO BOX 23274 CityS-IT.VFRTHOIRNE State OOTZip60498
CONTRACTOR INFO: Company Name ro T,C) _ Cn 0. •-,NST AS Sciontractor Phone #_ (970) 744-0376
Lic. Holder Name GEORGE L HAVES City of Fort Collins License # Supervisor Cent #
Mailing Address_ 833 GREEN MTN DR City T.OVF.T,ANn State rn, ZiP80S37
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft 1 008 Comm'I Sq Ft # of Stories ONE Bldg Height.
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
Total Garage Sq Ft
# Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft 1 nnfi
# of Full Baths '/< Baths '/2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No i
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) $ 4 r Ann 00
Description of Work: INSTALL TWn 4'x4'
Contact Name & Phone # of JOBSITE SUPERVISOR: GEORGE L. HAYES 744-0376
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer 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 o Collins ordinances and state laws regulating building construction.
Applicant Signature— 0 Print Name Z LP'4�, Phone ��- 03��
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE