HomeMy WebLinkAbout802 BLONDEL ST - APPLICATIONS - 2/16/2007BUILDING 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 0 APPLICATION DATE
6
Job Site Address 2302 hlorsAeA !� Unit
# 101 1OR11031,2by,2t05
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # -I o� — &AZo
� 1 s
Last Name�(// -5 �+�i A First Name T)', y CANS
Middle 1c ow ^�
Street Address) �b N C-011P1t�%t'j" �C� City 1 q l .E� NS /, StateCD
zip 095
CONTRACTOR INFO: Company Name n1k� �. Contractor Phone # �g14-19'490
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Lic. Holder Name //%Q�1 �y I�� City of Fort Collins License # Supervisor Cert #
Mailing Address �b I� cok\"e" City R Obp VttiS State_ zip
LEGALINFO:
Subdivision/PUD Filing # Lot #--I-- Block # 'l Lot Sq Ft 017
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 5Goi Total
llGarage Sq Ft
Residential Sq Ft Comm] Sq Ft 010C # of Stories 7a
Bldg Height # Dwelling Units
1st Floor Sq Ft 3XII 2nd Floor Sq Ft �p� Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of. Full Baths V 1/4 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 Sealin 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # t r List appropriate option #s t4Ct
UTILITIES INFO:
ittl
Water Tap Size�N Sewer Tap Size —1 Metered Yes or No Temp. Pedestal: &or No
Type of Heat: ),Gas ❑ Electric Electric Main Breaker Size (Residential only):
0 150 AmporLess ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: / t_
Electrical Si,� II1�� (' IP�iT�G Mechanical i�'�5 Ft�ATl/�a Plumbing ti�c P��w`�Dl
Framed C)`jQOf'A ON!5L� Roofing 1`, I IV R (M Concrete 1r��� C4�^ClZTeAther
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 Name _����� �b Ein ho— a
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE