HomeMy WebLinkAbout827 Mathews St - Applications/Addition or Alteration - 06/10/2013City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER � `D � W? APPLICATION DATE
Job Site Address 827 MATHEWS STREET Unit #
PROPERTY OWNER INFO: (All owner information is required - It is not optional) Phone # 970- 227-2208
Last name JARVIS First Name EDWARD Middle PAUL
Street Address 827 MATHEWS STREET City FORT COLLINS State CO Zip 80524
CONTRACTOR INFO: Company Name CRYSTAL SAW CUTTING Contractor Phone # 970-484-7707
Lic Holder Name ARNOLD GONZALES City of Fort Collins License # CC-112 Supervisor Cent #
Mailing Address 415 N. WHITCOMB STREET City FORT COLLINS state CO Zip 80521
LEGAL INFO:
Subdivision/PUD H10138-FC BLK 138 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
1a Floor Sq Ft
2"d Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths '/2 Baths # of Fireplaces
Air Conditioning: YerNo Energy info:( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door n
4. Simulated Performance Alternative[] 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes []NoF] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) E � l
U� \/0
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: ARNOLD GONZALES (970) 218- 1441
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: 1 hereby acknowl7de that I have read this�pplication and state that the above information is correct and agree to comply with all requirements
contained herein and City ort C Ilins T77
nd state laws regulating building construction.
Applicant Signature Print Name EDWARD JARVIS Phone 970-227-2208
stribution: White —Office Yellow -Applicant Pink — WWW/Stonnwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE