HomeMy WebLinkAbout328 REMINGTON ST - APPLICATIONS - 7/26/2002BUILDING PERMITS & INSPECTIONS DmSION
RO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last
First'
Middle Phone
Mom pola-(L APAKWTY
CDStreet
Address Please Specify. • LN. DR.
CR. . PL. T. CT. RD. AVE.
City State Zip Code
5Z8 j1�lNGZa'�
IC C41 C�t.Jco
Company Name
License Number
Supervisor & Cert. #
L
Mailing Address
City
State Zip Code
3lLo &v5640 51.
?%&-r 66LU,V
Cc o52�f--
6
Phone
j
Please Specify.
LN. DR.
CR. WY. PL. U1 RD, AVE. Zip Code
Subdivision/PUD
A
CM
Filing Number Lot
Block
Lot Area
c
Building Square Footage
Number of Stories
Building Height
o
Z�
Number of welling Units
Number of edrooms/Bathrooms Unfinished/Finished Basement Sq. Ft.
a
A
Stock Plad N mber/Options
��f'
Radon
EnergyScore/ E-Star/AirSealing/Blower Door
Y
H
WaterT Ize
Sewer Tap Size
Metered
Type g# Heat: L-40ILtyt�,
Gas
Electri ain Breaker Size (Residential Only)
Temporary Electrif,,Pedestal Requested:
❑ Electric
IW150
amp or less ❑ 200 amp ❑
other
❑ Yes LKo
t t iI (including
labor, material, profit) $
34<)_ +At4
Description of Work:
j1l��ic,1� r,�au� � �cslRGCa•� � P4,� �.�� /.rt�.cv��►'L6sJ, � 1l-�t'�•c-,
!TWA/6 IA.) 64S�l 4 1G��/ Nf3J F!„i
Job Contact Name & Phone #:
6444)
Subcontractor Names:
Electrical 4A-A-) f'(•G ZqC, Mechanical Aw.-j S Plumbingy6v^✓� AOO!5; /0G4s00-1-z
Framer SrZ0W6W'*. Cenzs-/. Roofing [, 7'( U-6 ,QtgKf} C Concrete
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements contai d herein and ci rdinances and state laws regulating building construction.
'411" a I
'a I Signature `-- wuMt,,r '
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE