HomeMy WebLinkAbout6400 BUCHANAN ST - APPLICATIONS - 6/16/2008LEGALINFO•
City of Fort Collins License # Supervisor Cart #
Mailing Address City State
Zip
Subdivision/PUD_r \TrR i�� t�JVOI Filing # Lot #
___�2_ Block #--t_ Lot Sq Ft %
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
T tal G
Residential Sq Ft Comm9 Sq
nit #
PROPERTY OW tN R INFO: (All owner information is required — it is not optional) PhoneLastName _—C r :j
First Name J � ' � (-T ,
Street Address�; C 6� ^ /\) N � City��^-C' S_ WS Middle j4
State �0 zip g 0 5 z�
CONTRACTOR INFO: Company Name _ l^g �`f C
Contractor Phone #
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 805224M • phone: 221-6760
www fcgov com/building
"Fort BUILDING PERMIT APPLICATION
APPLICATION NUMBER__��D -�qI q APPLICATION DATE n off- /I
Job Site Address
Lic. Holder
v C tANNNN 5T, . V' ,
o arage Sq Ft
# of Stories Bldg Height # Dwelling Units
181 Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt S Ft
q Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths '/. Baths
'% Baths # of Fireplaces
Air Conditioning. Yes No Energy into: (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 labor, material & profit) $ 2_ D bD
Description of Work: 6 DQ i 't;" t d N O P b e C K 1 xi i ��
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info•
Electrical
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 Fort Collins ordinances and state laws regulating building construction. ` n�
Applicant Signature ci 'd-� ` Print Name �e L��i v
Phone
rstribution: White — Office Yellow —Applicant Pink — WVWV/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Mechanical