HomeMy WebLinkAbout939 W OAK ST - APPLICATIONS - 3/10/2008BUILDING 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 020 I14 APPLICATION DATE 3 —I Os
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Job Site Address q 3 q A)E 5 l a'A k Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name�lFitr e-r- �/ First Name �/ / Middle
Street Address !/31 l.��-9 l /�tQT- v ` city
lF Coll, StateCd Zip
CONTRACTOR INFO:: /Co�mmppany Name l� sje;L5k, 1�.,� /U .v ri Contractor Phone #
Lic. Holder Name I7/ f�+�l��/wS� City of Fort Collins License # 6a6 S Supervisor Cert # l�
Mailing Address Cl �j� �UG�S/ Cie% City 1'16011ivS State CO Zip 90�a<
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq Ft # of Stories
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Total Garage Sq Ft
Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft 1�:!'
# of Full Baths 1/4 Baths /2 Baths # of Fireplaces )`f)
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
�Q
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) $ 3SOUi U a
Description of Work: 9x )'R
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Ae, g./Iree f7'l'G
Framer Af e n✓51-k— Roofing
Mechanical
Plumbing
Concrete e" ke. � S'
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 s �,< Print Name /`I'/ �ca�P s'/�. Phone 310e,,1"9 3
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE