HomeMy WebLinkAbout919 WOODFORD AVE - APPLICATIONS - 5/22/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1QDk%S 0 401� APPLICATION DATE I I I
Job Site Address [ 11 fitJQ�D2D ,A-t!r,- - Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # L'`' �7- Z
Last name �V�s�C/�° / �Fiirsst�Na}m�e �C�e / Middle
Street Address City �C� State Rip_(
CONTRACTOR
Lic Holder Name
-cContractor Phone # 2 /.s 3 32?p
City of Fort Collins License #A4�6_ Supervisor Cart #4�g tol 4�j
Mailing Address_ _L pZ25— /J 6:g -ZR7' City State c—�o zip _cScel:�-a4-
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories
161 Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3rd Floor Sq Ft
Bldg Height # Dwelling Units
Unfiished 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. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
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) $OC��
of Work: IOL)L�-tAL --
Contact Name & Phone # of JOBSITE SUPERVISOR O-446 3 1 )
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby ac ave read this plication and state that the above information is correct and agree to comply with all requirements
contained her ' City of F Collin ordinances a state laws ting building construction.
Applicant Signature Prin Nam —4vV �� Phone Zf8 .�33g1
Di ion: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE