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HomeMy WebLinkAbout417 W Magnolia St - Applications/Addition or Alteration - 06/26/2013City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES �t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBERy 1 / V tJ 1 %.Y (\ APPLICATION Job Site Address_! `�/ t 7 W M a a plo 1 i` a. FT Co lG`h<J.Jnit # cy PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 220 " 2 Z S L l Last name Ct r T Y o'{ /nFe .-7' Fgst Name Middle Street Address 3 ©D k r Ya .A % / Aar Citrb t State_a.Zip CONTRACTOR INFO: Company Name yr"1 Contractor Phone # C/]O - 5-46 Lie Holder Name /.3 rCity of Fort Collins License # 4F-2 il, e-i Supervisor Cert # Mailing Address -7 00 J, a PO f T-c ho •C City FP: 60 l/r1 K S State e'D , Zip LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 'Q 14 000 Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft Z�bydl# of Stories Bldg Height # Dwelling Units 151 Floor Sq Ft Finished Bsmt Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths '/. Baths Yz 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 #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 E3 d Value of Construction (including labor, material & profit) $ 4.p d 8� Description of Work: R 4_- rKo V ,c �e ! �c t Y /( 00 wt 1)4 h CJ iF) r 'b f3 r'V' f 1 11 .1 e T n c 7-,q iI /v e w t v e 11 .1 66 j4K-e 4f 'e C. ;) -I, CI1 w kIIr a-t 14VAC r je+.v e-'eik C _ IV,-w rsC--A- L 1 117..1�ag, ce-1L( '"44-A ci'e/ i f ✓'S %Vitta 42 4i, .4 eOK7`r4 t C Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical 13 + Xt ti 6a h N r rr- Mechanical f'40u 4 ►"P �a7�(`e �/ A"*, Plumbing Framer y - k Roofing Concrete Fireplace Solar Other(V•rsTe� S7:ilplte5 PiocOther Other p^aT-teT.`0'1 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 Print Name IYIE( (r"rCft P`1 Phone7l0 %^' ?o Y3 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE