HomeMy WebLinkAbout829 PRESCOTT ST - APPLICATIONS - 5/27/2008BUILDING 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 303t;-44 APPLICATION DATE 5 a�'yv
Job Site Address Y �t %%en'e Z S ZUnit # ,�tt ��77 / / /
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # � %U d� !(v 3 / %
Last Name First Name �� Middle
Street Address City C t State/�Q Zip�
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/< Baths /z 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 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
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
Description
aria) & profit) $ 1
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical Plumbing
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 grt Colli s or i a cgs alid state s ulating building construction.
`� 1 /
Applicant Signature / �i/ rttfi Nimev / 12 v. U/�cE i� Phone
stribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
TH S APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE