HomeMy WebLinkAbout609 WHEDBEE ST - APPLICATIONS - 8/14/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort of
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
vvww.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 1l0 4(o APPLICATION DATE "� 14 6 I
Job Site Address C9og Why d bee S-iree A- Unit # WI A
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Q-70— LAQ - Q 77 7
Last name CN�r M GlfN First Name Mr- Aan Middle
Street Address 10$ DQr-VmouAy\ Tf6%\ CityFnr-�- Cn�\ins state�(1 Zip ei
CONTRACTOR INFO: Company Name Contractor Phone #
Lic Holder Name ►ordrw\ Ob- e.rman n City of Fort Collins License #�—�—I 5 Supervisor Cert #Li �-M
Mailing Address y �. Cn\1�V2 .41:WE IS Citya. C.01I I State CO Zip
LEGAL INFO: C
Subdivision/PUD \d \�JC9 — 1 TC- �l_� rJC4 Filing # Lot # Block # 5 Lot Sq Ft G 600
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm-1 Sq Ft wl-F-t-t- # of Stories Bldg Height # Dwelling Units 47
161 Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft c(G-7 # of Bedrooms 1_ # of Full Baths __L_ -/< Baths 0 Y. Baths 0 # 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 # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: SdGas ❑ Electric Electric Main Breaker Size (Residential only)) j/5OAmpQo7r LLess ❑ 200 Amp [:]Other- Value of Construction (including labor, material & profit) $ I?Dct I( /
Contact Name & Phone # of JOBSITE SUPERVISOR: Ne_X 1-1eoz
Subcontractor Info:
Electrical %!11 nP_CAyiC. Mechanical Plumbing�ho, alUf11h1t1A ��1C
Framer Fn it BDLl} Roofing Concrete Fireplace
Solar Other Other 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 l_XJ )AII/ a Print Name kek V-\P.nzQ_ Phone -a(0D-3\?> -_7 6_1
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE