HomeMy WebLinkAbout323 N WHITCOMB ST - APPLICATIONS - 6/30/2008BUILDING 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 I (1O 0 _� !ZY�3 APPLICATION DATE �, --�30 �O
Job Site Address ---1-�3 0;- �///1 y can ,� ✓`%. Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # ;22 %- 3&�&'
Last Name 04ke First Name .9/,? i -r' Z Middle
Street Address 323 N'O)-ffi GI/�/ /GU7s/I ty LLFoYf GOl/ir/S State 4 l Zip SO52
CONTRACTOR INFO: Company Name A5 A? V l G07YI,S/vi/GACo actor Phone # ,�-SZ -42-18
Lic. Holder Name /�y�/ ,'I E��i-131� ' City of Fort Collins License # —2 Supervisor Cart #
Mailing Address_
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq
15t Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes 0
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
City State
Filing # Lot # Block # Lot Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Full Baths 3/, Baths /: Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
Metered: Yes or No Temp. Pedestal: Yes or
Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only):,11�450 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ ha 02 /, 41;10
Description
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Pt"Y ede,,m J'-2y)GB5 Mechanical
//^^ >7yY/ P✓/`G¢!il Plumbingn /T'xierIGan SeV%G2f
Framer $�Je zon6; tl4c6lofihg A11A Concrete.1 ie-K "4 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 andstatelaws regulating building construction.
Applicant Signature�`�
Distribution: White Distribution: White - Office
Print NameZ-,hr)�`��%'
Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE