HomeMy WebLinkAbout939 W OAK ST - APPLICATIONS - 6/26/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 WWW.fcgov.com/building `tf g34i '
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER `�Q I i/ ) APPLICATION DATE Ce 1a(.10
Job Site Address 01301 W , Dot k Si-- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 3 k O to +00 3
Last Name K U. k e n s kt First Name A , Middle
Street Address 35 33 Pear4-Vi f re Dr. City F (� State Co zip 80S
CONTRACTOR INFO: Company Name {Cl.� �el� S k� �C� 1%l"ontractor Phone # r
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address 35 3 (-leaf-I-h �i �'e D 1�• City C State C 0 zip 80 S 7-1—
LEGAL INFO:
Subdivision)PUD
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes
3. ResCheck w/Blower Door
2nd Floor Sq Ft
Block # Lot Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft.
_ # of. Full Baths 3/4 Baths '/z Baths
No Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Finished Bsmt Sq Ft
# of Fireplaces
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: A Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 161000 • 00
Description
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: I ,✓ n �/n �, , /i [�
Electrical �-i tG Lt Tf (L Mechanical A i t/Sjev 0 i� Plumbing W I ' I �%% Ib < <i
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 City of Fort Collins ordinances and state laws regulating building construction. //��
Applicant Signature_��� Print Name A � L/ wL kcs tt Phone 3 6 4-g 3
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE