HomeMy WebLinkAbout412 THRASHER ST - APPLICATIONS - 9/17/2007a ui BUILDING PERMITS & INSPECTIONS DIVISION
t j P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER &;�6 3 APPLICATION DATE �?— /7 L/
Job Site Address (--cl S Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional)
Last Name F1 h In First Name 3 U
Phone # Z / t— -5' j/ 6
Middle
Street Address q ( 2 T� (4 S k,4— City E-State Cd Zip d d S cam,
CONTRACTOR INFO: Company Name (� ,. Ckry -}
m f S fi� `2 �' � Con tor one # Sg — ZO 3 7
Lic. Holder Name P4 V,' V I2 a h d M elV-- City of Fort Collins License # 2- Li0 Supervisor Cert # amftvo
Mailing Address L�Z �(Y-e d om City F C State Zi
he, p 0 SZ
LEGAL INFO: (C k7
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft lOov� Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft j Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms Z # of Full Baths l '/, 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
City of Fort Collins Stock Plan #
UTILITIES INFO:
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s_
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: 8 Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, %l
material & profit)/,$ �OOU /
Description of Work: G d /i J '1 p g '/ - w �� �(�j i` S Ill O w
Contact Name & Phone # of JOBSITE SUPERVISOR: D4 V�-d Z.03 ;
Subcontractor Info: Electrical A" k .I Mechanical E ? I'I'1 Plumbing Rpm
fD
m
Framer SRIF 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 F ins or fiances and state laws regulating building coonr/1nsttruction.
Applicant Signatur Print Name t,d 34r,'rt eft— Phone 2033
ri . ion: White — Office Yellow — Applicant Pink — WWW/Stormwater
S A,LICATION EXPIRES 90 DAYS FROM APPLICATION DATE