HomeMy WebLinkAbout609 WHEDBEE ST - APPLICATIONS - 3/24/20171 J' L %.*VLLII 1J 281 N College Ave • Fort Collins, CO 80524 • Phone 970 416 2740
www fcgov corn/budding
BUILDING PERMIT APPLICATION
APPLICATION NUMBEF i7 1-1O I6a U APPLICATION DATE_ 31 Q14 I I -1
Job Site Address QQq t��N>=_ � a� 2q Unit #
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # N-70-)/-/ 1 z - 7 I -1y
Last name 0600 fr RNN First Name z5DoD:)Il Middle
Street Address (.OyA W rrysu "-f� llV City Ecgn-Crx -tip State GEC ZipQ952
Q't CONTRACTOR INFO Company Name OFV40N 11'tx Contractor Phone # (_`St0 )Z417C - G r i
Lic Holder Name TDB City of Fort Collins License # - 1-15 Supervisor Cert# 4fM5- d2
Mailing Address S1FY(YlC PeS City State Zip
LEGAL INFO. cam' q
Subdivision/PUD (b I�(v "PTC Fdmg # I WO Lot # Block # 15W Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not including basement) 9 :� (04Q Total Garage Sq Ft All(O
Residential Sq F , (GJJ Comm I Sq Ft '� # of Stories Bldg Heigh Dwelling Units
1" Floor Sq Ft 2nd Floor Sq Ft3" Floor Sq Ft
Finished Bsmt Sq Ft� # of Bedrooms # of Full Baths � -/. Baths
Air Condi/1'e)l tioning No Energy info ( Circle appropriate choice ) 1 ComCheck
Unfiished Bsmt Sq Ft EI$0 17i�'1 ?'S
'/ Baths # of Fireplaces 3
2 ResCheck w/Air Sealing
3 ResCheck w/Blower Door 4 Simulated Performance Altemative 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 ❑ Electrc Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor material & profit) $ 12 D , 000
Description of Work
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StAves1 �1"
Conamp e � phone #
Subcontractor Info.
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Electrical VDIG"COJ GA jj-Ct=iC Mechanical tJOY071 Plumbing At.Pkri- l:Ai,t,iYl 2:)
Framer kVS ty (A,jtMLXTi QE frog Xg- SNwiG Concrete
Solar
Other
Other
Fireplace
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 Phone
12001' 1�>Z�a _ ���IZ ✓
95uC) x a5 �1,5�25
40
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