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HomeMy WebLinkAbout411 WHEDBEE ST - APPLICATIONS - 4/18/2008BUILDING PERMITS RL INSPECTIONS DIVISION P.O. Box 580 •Fort Collins, CO 50522r0580 • Phone: 221-6760 66 www.fcgov.com/building CityofFortCollins BUILDING PERMIT APPLICATION APPLICATION NUMBER V Ut/ � �3� APPLICATION DATE G O OK Job Site Address -D © - Lf ]) UA JL-e� Unit # _ PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Last Name 114AC-k- First Name 5-kL;-e- 9AAC4 . Middle Street Address City FG Statee,�o Zip CONTRACTOR INFO: Company Name Tam 6Yutq S Contractor Phone # 7 Lic. Holder Name 1,0M K')'P�4 e City of Fort Collins License # Supervisor Cert # Mailing Add LEGAL INFO: Subdivision/PUD City State Zip_ Filing # Lot # Block # Lot Sq CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Residential Sq Ft Comm] Sq 1st Floor Sq Ft # of Bedrooms Air Conditioning: Yes t 19 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units %0 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Full Baths '/< Baths /z Baths # of Fireplaces t Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing m 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door OQ 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): Ig 150 Amp or Less 11200 Amp ❑ Other Value of Construction (including labor, material & profit) Contact Name & Phone # of JOBSITE SUPERVISOR: Lj 7W S-- 6,$-- Subcontractor Info: Electricals Ir. 0 �sL.P y�� Mechanical �{ Framer % wtSnt05 c ay4tiAs Roofing 1 kayAox � G! kvwas�- Concrete I 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 Fo Collins ordinances and state laws regulating building construction. Applicant Signature Print Name '51609 AAACk Phone ZZZ " Y/y 3 Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE