HomeMy WebLinkAbout1532 Peterson St - Applications/Addition or Alteration - 03/26/2013City of I1 COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
�ja3 a� BUILDING PERMIT APPLICATION
APPLICATION NUMBER P 13 013 ae APPLICATION DATE 3 -0LU - V v 113
Job Site Address /5-a Unit #11
II
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # O c%� l - gSLit
Last name CgtzlS 6+i\ First Name SoK 4 L t484 Middle
Street Address ) 5�1- ��-� �� City- (a L( I V1 State(=g) Zip o 'dam
CONTRACTOR INFO: Company Name t j ! . tJSSs l l 1:1� Contractor Phone #
Lic Holder Name 1At'.11 A44 City of Fort Collins License # �>"(4 G Supervisor Cart #
Mailing Address I.1� Wt`v4�0LJ LIRu�z-- City f�oM-WtuA State CZ Zip soSr
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths '/. Baths '/2 Baths # 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 #
UTILITIES INFO:
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
eei(Residential only) 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ -I ) . 00-0 c D
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: [A-J t ii t4t4g .SS-2�I_ 9 %d
Subcontractor Info:
Electrical A4"%1 fly Mechanical Q>M' c Plumbing LL--
Framer
Solar
Roofing
Other
Concrete
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 It Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name 1 JaLt,Ac 9SS4J b — Phone 170"227-L30-�5
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE