HomeMy WebLinkAbout414 CHERRY ST - APPLICATIONS - 9/19/2008BUILDING PERMITS & INSPECTIONS DIVISION 3
& $ = P.O. Box 580 • Fort Collins CO 80522-0580 • Phone: 221-6760Ri
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www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER �V ou—31 APPLICATION DATE
Job Site Address 14 ��RR y- 3 r, r $0-12,1 Un�jity#
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Namerr, y%'r First Name Middle
Street Address fit} LI j US S 14 6 &6✓ PK Ml7 City Fri T c44 r i A State C fJ Zip 0 `,
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD C� () -� F Filing # (� 5 9 6-S Lot # l Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) - Total Garage Sq Ft "1 L
Residential Sq Ft ✓0 Comm'I Sq Ft # of Stories Bldg Height --PIW # Dwelling Units
15i Floor Sq Ft +J 1(� _ 2^d Floor Sq Ft / Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft /
# of Bedrooms # of Full Baths % Baths / 'h Baths # of Fireplaces /
Air Conditioning: Yes (Nc) Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
Water Tap Size �_ Sewer Tap Size �� Metered' Yes or No Temp. Pedestal: Yes or ,No
Type of Heat: & Gas ❑ Electric Electric Main Breaker Size (Residential only): K 150 Amp or Less ❑ 200 Amp ❑ }O�t-herr
Value of Construction (including labor, material & profit) $ Z 'So0 - f4 4 UD U a,{�c'
DescriptigI jn �f Work s . L�U, �LUI, r 0 4g4:�04 ad 1,4,11, J[I-, r n D rI
- c /1 1/ `L: I/ /I n I 1/ #� A Al I II I fill I If] c A... _ 1 ll. �
Contact Name & Phone # of JOBSITE SUPERVISOR: �� 16 �1 V% f I"f F, flf jI 1, 60.
Subcontractor Info:
Electrical / Mechanical Plumbing AAA nG oMft i(/G
Framer /� Roofing /� Concrete 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 ordinances and state laws regulating building construction.
Applicant Signature J9 Print Name 6KA I S �C�tOyfif A TMb , Phone
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater rR iA E 6 1, (l(:, C Vf(.['P y 'rejy r