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HomeMy WebLinkAbout932 W DRAKE RD - APPLICATIONS - 12/30/2009Z �� BUILDING PERMITS & INSPECTIONS DIVISION 4-PO Box 580 Fort Collins CO 80522-0580 Phone 221-6760 www fcgov com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER �0 q0 $a C APPLICATION DATE /--,? 3 0 - © 9 Job Site Address 9 3 Z W tJLAI,(-E. Unit# PROPERTY OWNER INFO(1 (All owner information is required - it is not optional) Phone # y01 270 7 &o J Last Name CU`� v�4Evk14P First NameLdoL, 5 tsp,(�STut cS Cp'Mldoie&" Street Address C U S t�f ryC City L Z)dLwsOCjCC i State e'T zip GL S CONTRACTOR INFO Company Name Linvio A -ex l.u1JSrjt.t•cnoJ j Contractor Phone # 4/Lv0 OS&7 C Lic Holder Name SEA,) to(au's City of Fort Collins License # IS Supervisor Cert # Z77 I Mailing Address 11,70 Q A&k tSTa SYE 100 City Q( JJ0S44_ Stated_ zip N55U LEGALINFO w�I Subdivision/PUD r 4P 1 LET Cg,,7TtE Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO Total Building Sq Ft ( t I d g b m t) Total Garage Sq Ft Residential Sq Ft Comm I Sq Ft 7-5 SL/ # of Stories Z Bldg Height 2_i # Dwelling Units 1 Floor Sq Ft ZZa S35 2 d Floor Sq Ft 14 Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths / Baths / Baths # of Fireplaces Air Conditioning Yes No Energy info (Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing f¢ 3 ResCheck w/Blower Door 4 E Star w/Blower Door 5 Prescriptive w/Air Sealing 6 Prescriptive w/Blower Door Ct City of Fort Collins Stock Plan # List appropriate option #s UTILITIES INFO Water Tap Size Sewer Tap Size Metered a or No Temp Pedestal Yes or No Type of Heat I ( Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp Ix Other 00 Value of Construction (including labor material & profit) $ 1 oyy C>ZLn'— Descnpbon of Work eE,-^0aFL Qr- IrJ-rLCiOQ_ OF EXrSTi�JLl KWQS,i-oC-A /uA.r4au-riy,j OF CELL .J(. SyszEe�, S Sit rFl"S , UC.7 FC.a0t,1...7Cx t , Q.E.+.uuF A 1=X.S7-_>(a U(afiS) IIk-t ES�P6(zIS7F2S�QrFF�.SF.�S Contact Name & Phone # of JOBSITE SUPERVISOR _Z�oR LF, Y, 5101 314 Subcontractor Info Electrical � QFoe1uaNCC &46,11VC Mechanical Ale, C4AJcdE7 Plumbing Adt, Framer 44— Roofing / 1,4 Concrete 1114 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 on Collins erFlin and state laws regulating building construction Applicant Signature Print Name-f,lb&Z6 Phone 5�07-/mil Distri ion White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE