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HomeMy WebLinkAbout1020 E LINCOLN AVE - APPLICATIONS - 10/20/2009BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER-7�'Or06 APPLICATION DATE Job Site Address [O ZO ectg - L1dcol n AVtyl Q6 Unit,^# PROPERTY OWNER INFO: (A ll owner information is required - it is not optional) Phone # 9 l V' ` -+Z- 1,499 X 15 Last Name© l/�1t;�1 uz" F'irst Name 7ji7 MI,yyl Middle Street Address i��tL MA O j� �[ g� (,� �, City 66E l 1 1` 1 V S StateCo o zip E505 Z CONTRACTOR INFO: Company Name GFZ C. n�Y Cy) SVCS. Contractor Phone # 99n • 22--' % 156 Lic. Holder Name ,( T City of Fort Collins License # Supervisor Cert # v Mailing Address QOYIG1 t, �Jakle/ City rf �(j l I ins State L U zip Q Z LEGAL INFO: j'r e7r / LL ( F'J34s J� c Subdivision/PUD iling #Vd Lot #__--;L Block # i Lot • Ft_ CONSTRUCTION INFO: Total Building Sq Ft (not including basement) W4 Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft?Vjt3 # of Stories 2_ Bldg Height3�3'Mfi(k# Dwelling Units 15S Floor Sq Ft 27; 21 LO 2nd Floor Sq Ft 31 (A) 1 Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms Air Conditioning: 4S No 3. ResCheck w/Blower Door # of Full Baths '/< Baths '/2 Baths # of Fireplaces Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 4. E-Star w/Blower Door 5. Prescriptive w/Air. Sealing 6. Prescriptive w/Blower Door City of Fort Collins Stock Plan # List appropriate option #s UTILITIES INFO: tort 311 � I��u T� Water Tap Size, 1� y' Sewer Tap Size / _U Metered: es r No Temp. Pedestal: es r No Type of Heat: XGas ❑ Electric Electric �Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ ( i 9 (Z�', Da' Description of Contact Name & Phone # of JOBSITE SUPERVISOR: lc.l� �I ���► 1 " I ZZ-�"'2.�J� Subcontractor Info: Electrical Mechanical Framer Roofing Concrete Plumbing 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 Coll' ordinances and state laws regulating building construction. '' Applicant Signature Print Name T� Was Phone" I//�� 70"'!LL �� '�0 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater X 1 S THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE