HomeMy WebLinkAbout605 S COLLEGE AVE - APPLICATIONS - 9/1/2005., � BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
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Irl '' ! 2 L--APPLICATION NUMBER APPLICATION DATE�� --
Job Site Address (,6,5- S6yl-y CyL�r � �2 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name '31-6 Al Q- <- First Name �-rA 5 Middle �D
Street Address �Q�/l(��r�l �% City Ryv 6721uu):�' State & Zip
CONTRACTOR INFO: Company Name ?VfA' tf6Z6t6-aT2W4 6tl6g� Contractor Phone #6;212-�
Lic. Holder Name �fg 1/ 'p fGC, j City of Fort Collins License #-F-/39— Supervisor Cart #
Mailing Address %�o i I.U�S jC -JGC_ City q5-r (!)L-Z kcg State_ Zip isu
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft y
e
Residential Sq Ft Comm'I Sq Ft 4.000 # of Stories t' Bldg Height I? — # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes No 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 #s
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): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ / q OOC)
Description of Work: tat lAltlff- TVol elpirL n We -LID A164t)% 10/tZjr � F4:.Lo� , %a Ior,
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical eelyFOzz Plumbing &54/ 11Q
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 C lins ordi ces and state laws regulating building construction7�
Applicant Signature 4�Print Name t�y/�'4'erx Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE