HomeMy WebLinkAbout1422 N COLLEGE AVE - APPLICATIONS - 6/22/2006Last
3 Strei
0
ompanv Name
0
� Mailini
C
c ) 1 Phone
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
www.fcgov.com
BUILDING PERMIT APPLICATION
First Middle
y AXg/'
Specify: 1N. DR. CR. WY. PL. ST. CT. RD. AVE. City
, 7 de-n A)AY f.� G
-�de
// // License Number
urs
C'
CP ,
inervisor & Cert. #
3� L.%sf' �!o`SfL, state
l0-4/2--0/00
Please Specify: LN. DR. CR. WY. PL. ST. CT.
Vey- Open C,a �e _ 1y2 z �f r
Subdivision/PUD
R
cm ID
Filing Number
Building Square Footage
c
2
L
Number of Dwelling Unit
Stock Plan Number/Optio
Water Tap Size
N
0i
Type of Heat:
❑ Gas ❑ Electric
VALUE OF CONSTRUCTIO
i]ecrrintinn of Wnrlr
'S3
-3/83
Zip Code
6o/lThs
Number of Stories �, Building Height i
Number of,�edrooms/..Bathrooms 15shed/Finished Basement Sq. Ft.
Radon (� Energy Score/E-Star/Air Sealing/Blower Door
Y/N
Sewer Tap Size Metered
Electric Main Breaker Size (Residential Only) Temporary Electric Pedestal Requested:
❑ 150 amp or less ❑ 200 amp ❑ other I ❑ Yes A No
(including labor, material, profit) $ 9,4191,
Job Contact Name & Phone #: e
Subcontractor Names:
Electrical , r; Mechanical Otle� �[?,yTi �fi� Plumbing
Framer Roofing /40111 Concrete
II 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 ordinances and state laws regulating building construction.
a Signature
a
Print Nam(
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
I