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HomeMy WebLinkAbout902 E Stuart St - Applications/Addition or Alteration - 06/11/2013COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER D 13 ©C; - ;;Lj APPLICATION DATE I Job Site Address !qoz E, STUA-lt .i! Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 3 o 3 ^3 ) �y Last name Crl3 via e k First Name �r`i(: M Middle A - Street Address !q D)-- L , . Tll/k T— 3T- �' City C State Go zip "` /�ZS CONTRACTOR INFO: Company Name I I1 E S �id Z CO.. Contractor ,Phone # 303 —SOG ;33 2 1 f Lic Holder Name SW "V(j (VII.- — City of Fort Collins License # LJ�Supervisor Cert # f Mailing Address qo)" 61 /� 1 J MAVI 1 S7. City 1 c- State C E) zip 8ADS Z- LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ( ZO Total Garage Sq Ft 0 1 \ Residential Sq Ft 0 Comm'I Sq Ft �� # of Stories Bldg Height t 3 #Dwelling Units CD 151 Floor Sq Ft )I'D 2nd Floor Sq Ft C�) 3rd Floor Sq Ft Finished Bsmt Sq Ft Air Conditioning: Yes 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Unfiished Bsmt Sq Ft # of Bedrooms 0 # of Full Baths a/< Baths /2 Baths # of Fireplaces Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door List appropriate option #s 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) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ Description of Q Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical IT'S LLL<- l,Kl <, Mechanical Framer Solar Roofing Other lit.,. AV 13Lr- INWI-v&V3 SNL-7-( erle L/O ex, /-I c M Plumbing I"1Qk1 L nw/V Ex Concrete S / 0 , Fireplace Other Other Applicant: I hereby acknowledgeMt I ha read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fo Co li finances and state laws regulating building construction. /� Applicant Signature Print Name d/HL -( (/ rVLL'B L r ` Phone303-S0`- 3 3 y Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE