HomeMy WebLinkAbout1439 WAKEROBIN CT - APPLICATIONS - 8/20/2007` BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-67(i0
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER [ �P 3 APPLICATION DATE____Zqd_4 _ ,,10
—Job Site Address 3 q' [[�� {ram/d6,� ('1L/Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 197D1
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Last Name1,{J/j( First Name ��.yp
n ,, A ��a,,�>° Middle
Street Address y.3 7 WGt p rL7�j ii� e� City��✓/ �p f�j %! State 66 Zip
Lic. Holder Nam
Mailing Address
LEGAL INFO:
Subdivision/PUD
Company Name
Contractor Phone
City of Fort Collins License # Supervisor Cert #
Filing # Lot #
Total Building Sq Ft (not including basement)
List appropriate option _
7Water
Tap Size Sewer Metered: Yes or No
ype of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only)
Value of Constructio"including labor, material & profit) sip '70 S F —
State Zip
Block # Lot Sq
Total Garage Sq Ft
Residential Sq Comm'I Sq Ft # of Stories Bldg Height // # Dwelling Units
1s Floor Sq Ft 2nd Floor Unfinished Bsmt Sq Ft LFinished Bsmt Sq Ft
# of Bedrooms # of Full Baths '6 Yz Baths # of Fireplaces
Air Condi ro o Energy info: (Circle appropriate choice) 1. ComCheck . ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower o escriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
. Description
Contact Name & Phone # of JOBSITE SUPERVISOR:
— Subcontractor info:
Temp. Pedestal: Yes or No
❑ 150 Amp or Less ❑ 200 Amp ❑
74--vP-'77 : � --)I
Electrical t10ea 66tt//i69 / (22$- S3/ Mechanical _ 16� Plumbing
Framer/64 o,y - Roofing ^)/j) Concrete A/1,4
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 Signat ��1�r Print Name , o7t�y —
Phone
Distribution: White -Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE