HomeMy WebLinkAbout836 HINSDALE DR - APPLICATIONS - 1/31/2006BUILDING PERMITSINSPECTIONS DIVISION
P.O. Box SSO •Fort Collins,hin CO C80522-0550 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER LIC� (0loo —1 APPLICATION DATE — �' — 0
Job Site Address 831P 14lnsdi^Ab hr } , CD 865Z(o Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # g70 -204 -/Y 5
Last Name Reid First Name 7ohn Middle Y
Street Address 83U 141nsdu1e -br. City Tar tCo Ihni State Lb Zip
CONTRACTOR INFO: Company Name olzlke Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Clare-,idon 41 IIS Filing # ISi- Lot # (D Block # Lot Sq Ft •42-ACRE
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
1 st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths '/, Baths /2 Baths # of Fireplaces
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
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) $ 350 O
Description of Work: Conversion &F 3rcL bay of three -car g6ai c, to an arfls,- Studio
Contact Name & Phone # of JOBSITE SUPERVISOR: _
Subcontractor Info
Electrical DAr Aw Mechanical
Plumbing
Framer Roofing e — Concrete 1 — 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.
Applicant Signature ��i� Print Name 7phn j Phone G7o-2,O4-I `jq5
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater CGII q70"5Z'7A'0qG
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
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