HomeMy WebLinkAbout6227 WESTCHASE RD - APPLICATIONS - 2/19/2008BUILDING PERMITS & INSPECTIONS DIVISION V r ID
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 Q n
www.fcgov.com/building Uvj
�i BUILDING PERMIT APPLICATION
City of Fort Collins
APPLICATION NUMBER d/IJwoq� APPLICATION DATE '-2 I I q /0�
Job Site Address �Z2,1 I�.estonr-s_e. 'e p�• Unit #
PROPERTY IOWNER INFO: (All owner information is required - it is not optional) Phone # 0176 - 20 (n - "l 9'
Last Name ri Di zi e-r- First Name L ew 15 /^� Middle
Street Address(, ZZ-7 l>L)es� cl o&e, 1��• City� ,7 .State CO Zip ib 5�26
CONTRACTOR INFO: Company Namep"P-Ar)it �St<,1P55 LL `Fl, �-G%6% Contractor Phone # ;?79- 1930
Lic. Holder Name 1 C(jg4 Po-C)Jr.g,-rn City of Fort Collins License # C - Zip ��i7/3p �3 Sup Cent ,�i
Mailing Address Sly -I ��. S �, City �I State (_�
LEGALINFO:
Subdivis
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft
1 st Floor Sq Ft _
Block # Lot Sq Ft_
Total Garage Sq Ft
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq FtZ
# of Bedrooms _ I # of Full Baths _ C % Baths I % Baths _-_ # of Fireplaces C�3
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 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: 0 Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)I $ 5. Z��.
Description of Work: t' i r+ S� ! n J cJ_e be)V-O !CA - Z%ld
C-
Contact Name & Phone # of JOBSITE SUPERVISOR:
7-
Subcontractor Info: \ C
Electrical l r'-e_5 to L'1C Mechanical JZCkS4,\ Plumbing L U�UYT�Q p plwYl+t7hq
J
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. �-�7 7�j /�
Applicant Signature ��,Ip�'� Print Name
N `1.r 6 9AK L-Z Phone � / �1 ' ( mil 3V
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE