HomeMy WebLinkAbout609 WHEDBEE ST - APPLICATIONS - 3/24/2017 (2)L %.*WLLII 1J 281 N College Ave • Fort Collins, CO 80524 • Phone 970 416 2740
www fcgov corm/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBEF APPLICATION DATE_ 31 ay
Job Site Address LQOal t i-"ELg3EZ Oat- 24 Unit #.
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # N-101-1 12 / f -/-1
Last name Deao mjtNN First Name -k5bgbt9ty Middle %/
Street Address COH W VYr")t,"-Vht--i 4V15 City EcilfLC4CALti-� (LSAtate lam/, Zip�7-g�D52
CONTRACTOR INFO Company Name 96DFV40 �-i ( (x Contractor Phone # t i 60 )4112-g 1 7
Lic Holder Name City of Fort Collins License # - 1-15 Supervisor Cert # 4(D25- 62
Mailing Address S)PI[Im . P(s City State
LEGAL INFO. q
Subdivision/PUD t b 1"5(0 'FTC Filing # 1 \00 Lot # 6 Block # 15W Lot Sq Ft SW
CONSTRUCTION INFO Total Building Sq Ft (not including basement) � LOLiQ Total Garage Sq Ft ARC
Residential Sq F , (014 C Comm I Sq Ft -� # of Stones Bldg Hetgh Dwelling Units
111 Floor Sq Ft I xN 22 ZS 2"d Floor Sq Ft k � 21T S 3m Floor Sq Ft
Finished Bsmt Sq Ft # of Bedrooms --3-- # of Full Baths '/. Baths
Air Conditioning l./ No Energy info ( Circle appropriate choice) 1 ComCheck
Unfiished Bsmt Sq Ft 1?064 W
1/ g
Baths I # of Fireplaces .3
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 #
List appropnate 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) ❑ 15o Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor material & profit) $ 12 D , DOD
Description of Work svbl�a-i
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ConameWhone #
Subcontractor Info,
Electrical VDIG "COO 6Arg:CQ?-k C Mechanical N l00 t W1Y2 Plumbing AI P{-t +
FramerWtgt\3 (.h►.jt=XDAQo fing AT 5)d1121C Concrete
Solar
Other
Other
Fireplace
Other
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Applicant I hereby acknowledge that I have read this application and stale 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 budding construction
Applicant Signature Print Name Phone
Fort Collins
Permit #:
Address:
Fort Collins Neighborhood & Building Services
281 N. College Ave., Fort Collins, CO 80524 1 970-416-2740 p I buildinaservices@fcgov.com
Building Permit Plan Revision Request:
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Proposed change/s: AM T«xl- (XIIJ Lz is eavuQ--r-c '&IC
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Valuation Change if applicable:
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Contact Name & Number: 77�
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