HomeMy WebLinkAbout118 S WHITCOMB ST - APPLICATIONS - 3/23/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building 1019
City of Fort Collins BUILDING PERMIT APPLICATION lag,3Z
APPLICATION NUMBER O� 7c;Lo APPLICATION DATE
Job Site Address Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # q-1 b- 9 aG_ (v 3q.
Last Name K0.\a First Name L ,%r--_ ' Middle
Street Address 1\`l3 S.City Vac -'IC CokkkNs State Ca zip$6Si�(n
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing AddressQ C 0 iys City�'V&_ca-v-kC-L- State Czip $Q'5%':o
LEGAL INFO:
Subdivision/PUD
Filing # Lot # N VI -I Block # -LA__ Lot Sq Ft 61 $66
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft t�lsg Comm'I Sq Ft # of Stories Bldg Height #Dwelling Units
1st Floor Sq Ft /D SS 2cd Floor Sq Ft 90c9 Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Bedrooms Lf # of Full Baths c. 3/4 Baths k '/2 Baths # of Fireplaces
Air Conditioning: Yes (�D Energy info: (Circle appropriate choice) 1. ComCheck
3. ResCheck w/Blower Door 4.' E-Star w/Blower Door 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
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) $r �� 0 e;)
Description
Ic
Ic
Contact Name & Phone # of JOBSITE SUPERVISOR: !� /
LjvfLm
Subcontractor Info:
Electrical L��beS �C�a Mechanical Plumbing RQtM
Framer K 0.�l'_u 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 gf Fort Collins ordinances and state laws regulating building construction.
Applicant Signatur Print Name Laan e— Phone 4wO' G :19%tA
Distribution: MAO — Office Yellow — Applicant Pink — WWW/Star a er
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE