HomeMy WebLinkAbout323 WHEDBEE ST - APPLICATIONS - 6/27/2006BUILDING 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 [� � ll� � � � l O APPLICATION DATE lU �
Job Site Address, -3 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name NQ4Gl First Name 'jyou-Middle
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Street Address .3 Lr%%CAec- City Tee f Ly/(S State �!/ Zip s
CONTRACTOR INFO: Company Name �`y�/s�[� 4sd Contractor Phone #/ / 7T> ,.W -,i.2 70
Lic. Holder Name &n/4ir ,��Ynid & City of Fort -Collins 'License # YB Supervisor Cert #�
Mailing Address/, A � h�r.,,c.+ ���5� Cityieg1 L.1111As State 4610 Zip &-S'5-
LEGAL INFO:
Subdivision/PUD
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I 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:
Block # Lot Sq Ft
Total Garage Sq Ft
Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths Yz 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 #s
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)
of Work:
G-
Contact Name & Phone # of JOBSITE SUPERVISOR: &. /&q aallh«
Subcontractor Info:
J
Electrical �{iG� S ��L[7/'�l Mechanical 411,4 Plumbing NlA
Framer &54Z 7 Roofing &.9i. S Concrete N/f7 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 rt Collins or i nces and state laws regulating building construction.. -
Applicant Signatur Print Name /ate / iS7!� Phone970-j/&-67L3Z
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE