HomeMy WebLinkAbout900 E PROSPECT RD - APPLICATIONS - 12/5/2007BUILDING 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 /30 ?�o V /�t, APPLICATION DATE 1�;2— ,(�-- 6 T
Job Site Address 900 East pRosPirGT iZaAy Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name FIVLSY 13PWy►sr c.NuxcLK— First Name_
Street Address .clop F,AYT P12OSPtGT FZoAD
0170 .22y -5y51
Phone# 97o• 141134•14c)53
�ol„%. 5a e-r
Middle
City foA-r GOLs.,tw$ State GO Zip 90514
CONTRACTOR INFO: Company Name 2C . NE,#,TK cx44s-CXuc nq-j Contractor Phone # 976 .2L1 • 419' 5
Lic. Holder Name 1208exT NEATN City of Fort Collins License # A- ( Supervisor Cert # 29 1 -BZ
Mailing Address P. U, D12AwEyL N City faa.T crx-Ltur State C O Zip Say 22
LEGAL INFO:
Subdivision/PUD WyC'W-Sme loci¢ -ES Sf,GOND Filing # Lot #
SuB
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Ll 7, (DOD
PDVf fl v N
Block # Lot Sq Ft_
Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft g- / 2 1 # of Stories_ Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths '/ Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing I
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door (,TU
List appropriate option #s
Water Tap Size GtSTINb Sewer Tap Size EictsTlmc. 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) $7, P OS 2.0 Col /
Description of Work: 8 I L 1 S9 Ft Anvtri aw tAxq«ta /uc L t oe c 4_ i2�/ STBNE EX l-c /�rolL
wtu�-5� S c�r!� t r�Ytaau- PAYLT� TtmNS Iwo /Kll.,cn �fwo».�.
TO fTviSex- Y
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Gt2Zl-,OyitY IELI-bcn-r. Mechanical -r IS f7 Plumbing $p
Framer T f3 Roofing ra P, Concrete Ti!, L7 Other_
Applicant: 1 hereby ackno dge hat I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City f Fo ollins or anWand laws regulating building onstruction. ,' r
Applicant Signature Print Name�� hp -my -to Phone D4—
istribution: White - Office Yellow - Applicant Pink - WWW/Stormwater �1 f, � n
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION D TE i j ja -96b S