HomeMy WebLinkAbout638 W PROSPECT RD - APPLICATIONS - 10/1/2010BUILDING PERMITS & INSPECTIONS DIVISION
f P.O. Box 580 •Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER e? I CD V140�t APPLICATION DATE /0. -0
Job Site Address � 3y W. r_Pro5pE c:T Unit #
At/A
PROPERTY OWNER INFO: (All owner information is required - it isnot optional) Phone # q70 - a) S ^ 0(7 0
Last Name W t3 r-t s-VCLrFirst Name A Fl)^n F s Middle
Street Address Ll 00 LCrn L ra ►AT CU u r 'T- City -F (_ . State (C Zipf—
�D 5 Co S r rco (' LL"'_
CONTRACTOR INFO: Company Name Contractor ho e # 7C� 377-0g37
Lic. Holder Name dpr+�r,s Swgs�STco7,.% City of Fort Collins License Supervisor Cert #Z'q(o
Mailing Address City C- State Zip O d a S
1 SS S 16)A too WALL(. S- 4O O
LEGAL INFO:
Subdivision/PUD SVt'4NSTr0►►1
Filing # I Lot # I Block #_�A Lot Sq Ft 3 SF
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Z 3 q Lt Total Garage Sq Ft A4 JA—
Residential Sq Ft 31714 Comm'I Sq Ft o # of Stories 2 Bldg Height 34 - # Dwelling Units
1st Floor Sq Ft '126 2nd Floor Sq Ft 734 Unfinished Bsmt Sq Ft I Z@ Finished Bsmt Sq Ft 718
# of Bedrooms 7 # of Full Baths ?_ % Baths I '/z Baths I # 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
City of Fort Collins Stock Plan # N
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
UTILITIES INFO:
Water Tap Size FCXIS?itil• Sewer Tap Size-17u5rn)4 Metered: es or No Temp. Pedestal: Yes or No
f'Z i50/Vc-
XL5rlA1(�
Type of Heat: 2Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ O
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Description of Work: JI Nc.r_(� Tt41+�►L V �Olylfi "7� �ot*coitil� �O�SFL
Contact Name & Phone # of JOBSITE SUPERVISOR: ykr+� �5 �, J� Iry 5't'�a C176 - Slo7-- )3AZ Ct L L
Subcontractor Info:
Electrical W F1 Mechanical N/A Plumbing
1 4
Framer Pr Roofing I� 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 Print Name 11inr»s-, c WP4A4TMt,-% Phone970-5*47'131
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE