HomeMy WebLinkAbout909 CENTRE AVE - APPLICATIONS - 5/19/2004 (4)City of Fort Collins
BUILDING PERmrrs & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
L st
First
Middle Phone
JPlease
c�777 - Vl
g-lb -482 - 6Z9,
c
Street Address Specify: LN. DR. CR. WY PL. ST CT. RD. AVE.
City State Zip Code
g4-4 e
ia.i 6_
4�6 &57
Company Name
License Number
Supervisor & Cert. #
L
Mailing Address
�o Z
City
�oc�s
State Zip Code
o
Z
Gb O 2
c�
Phone
C7/b�7
Please
Specify LN. DR. CR.
WY PL. ST. CT RD"AVE. Zip Code
gce
Subdivision/PUD hk of Ve-&4-� 40 Z-+r
o,
2E - toTE
'f FD' L
Filing Number
Lot Blo
Lot Area
_
Building Square Footage
Number of Tories
Building Height
c
j
/
Z
Number of Dwelling Units
Number of Bedrooms/Bathrooms Unfinished/Finished Sq. Ft.
/Basement
Stock Plan N tuber/Options
Radon
Ene'rgyScore/E-Star/AirSealing/Blower Door
Y/N
Water Tap Size
Sewer Tap Size
Metered
y
D
••''
N
A
_
Type of Heat:
Electric Main Breaker Size (Residents I Only)
Electric Pedestal Requested:
❑ Gas ❑ Electric
❑ 150 amp or less ❑ 200 amp ❑ other
[—Temyary
s ❑ No
s,c���t�•��euenn.ui�n�te� tmcluaing moor, maienal, prom) ;i LV, U� ��a��o� � ��� �
Description of Work; r-- ,�•� _
H
Job Contact Name & Phone #:
0
Subcontractor Names:
Electrical Mechanical A - Plumbing
Framer tAJ/y Roofing ► k /A Concrete