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HomeMy WebLinkAbout828 PETERSON ST - APPLICATIONS - 8/25/2006BUILDING PERMITS & INSPECTIONS DIVISION�� b 'r P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 2S www.fegov.com/building City of Fort Collins BUILDING PERMIT APPLICATION g3 . 53 APPLICATION NUMBER "`�Db V v APPLICATION DATE K' W Job Site Address h' S f},c j Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone Last Name /(.(,./A/�� First Name 1J�C-)� , / Middle Street Address P� /—z��O,c! City !//'7- (/ Qjf //� S StateZip CONTRACTOR INFO: Company Name I �/f{ / /[ ��� Contractor Phone # 20 3 — 41 w j Lic. Holder Name f _�/-J�City of Fort Collins License # Supervisor Cent # Mailing Address City 6)ur& 1 ,AN,b State Zip Ac S3 LEGAL INFO: Subdivision/PUD_ ' -d Filing # Lot # Ili Block #-L5 �6 _ Lot Sq Ft 5L/o CONSTRUCTION INFO: Total Building Sq Ft (not including basement) �� �� Total Garage Sq Ft©a �� Residential Sq Ft - G tJ Comm'I Sq Ft -----&-- # of Stories_ Bldg Height_ # Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft u/� Unfinished Bsmt Sq FtFinished Bsmt Sq Ft # of Bedrooms _ # of Full Baths 3% Baths - f'f /] Baths _�_ # of Fireplaces •-fi— Air Conditioning: Yes 6) Energy into: (Circle appropriate choice) 1. ComCheck 3. ResCheck w/Blower Door 4. E-Star w/Blower Door City of Fort Collins Stock Plan # 5. Prescriptive w/Air Sealing List appropriate option UTILITIES INFO: Water Tap Size ! Sewer Tap Size Metered: Yes or No Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Resid tial only t� Value of Construction (inrrluding labor, material & profit) $ Description of Work: 2. ResCheck w/Air Sealing 6. Prescriptive w/Blower Door Temp. Pedestal: Yes or No 01�50 Amp or Less ❑ 200 Amp ❑ Other i�gOLD.� Contact Name & Phone # of JOBSITE SUPERVISOR:�Ku�� Z0 3 -� 416 Subcontractor Info: Electrical 6Vey/i0c)ic Mechanical 1A Plumbing 1%4 Framer �E%A� % Roofing } �jy{���� Concrete (I — 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 ordinan s and state laws regulating building construction. ,J Applicant Signature /r Print Name�� Z Phone Z`✓3) Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE