HomeMy WebLinkAbout939 W OAK ST - APPLICATIONS - 9/11/2007BUILDING PERMITS &INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
'anwww.fcgov.com/building
Cityof Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER BV 70(,o lq' APPLICATION DATE 6 — `( _ /
Job Site Address g301 Yd, OaK St. Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
/� Phone # I-Z3(o 443
Last Name K to t e n S K► First Name —Al
Middle
Street Address_15 3-5 {k4—P&{41 Fire D r, City E
State CC Zip tOl
CONTRACTOR INFO: Company Name KuVensK C3► V ►da nQ (rlc Contractor Phone # b1-7 31 Z4-
Lic. Holder Name rs� I1.0 P,Y151� t City of Fort Collins License, # C_ �b,—C7-
Supervisor cart #
Mailing Address �tj 7j?� �-4 j� D �, City F CQ tCQ (t t�nS State CV Zip g O jj 7-4-
LEGAL INFO:
Subdivision/PUD
Filing # Lot #.
CONSTRUCTION INFO• Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
Block # Lot Sq Ft �Y
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 5S (o Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths '/, Baths % Baths
Air Conditioning: Yes No 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 # List appropriate option #s_
UTILITIES INFO:
# 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: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ -1000- 00
Description of Work: 2n_d -� koor" General RPrnnAPi t .1 _ r2.._r L_
Contact Name & Phone # of JOBSITE SUPERVISOR: Pr i Ku l 01 K 3 l 0 - (0 4-$3
Subcontractor Info:
Electrical PIK Elec,-rl C Mechanical hl� SeA$OYl Plumbing Ce). PI tkvv)bI)9j
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 fLKjA M k..t, Phone 31p (6483
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE