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HomeMy WebLinkAbout825 Remington St - Applications/Addition or Alteration - 08/16/20131 -- i-l. I Ti Ur.Vr.LADO'IV0r.I1M a &ItlLGIC9P9®vleloawue %7&nv0el6q;V FbetColh 1 lls 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416.2740 www.fcgov.com/building BUILDING PERMIT APPLICATION IAPPLICATION NUMBER i� / --� O 43 K_ APPLICATION DATE V _ /& `/3 Job Site Address garAtYLI.6y-N Unit # PROPERTY OWNERINFO:: (All owner information is required - it is not optional) Phone # 1 ! /© 2l li — " zoo Last name r3l� Holj nn 5 First Name Middle Street Address 3City Fof+Caljth5 St -ante CaZip$.�Z CONTRACTOR INFO:: Company Na((me�- le - Ocvef e"A-(- Contractor Phone # h St!6 -26 -06 r �7-, Lic Holder Name �1 n D-! it 9 City of Fort Collins License # 7ss Supervisor Certt# Mailing Address "l� r !�d+►iai� City roi+6 (1-A-5 State co Zip LEGAL INFO: Subdivision/PUD ` D` `� v Filing # Lot # I Block #� 2� Lot Sq Ft l �� CONSTRUCTION INFO• Total Building Sq Ft (not including basement) / 000 Total Garage Sq Ft Residential Sq Ft ��� Comm'I Sq 1s' Floor Sq Ft 2nd Floor Sq Ft _ Finished Bsmt Sq Ft -jam 9y#ff edrooms # of Stories Bldg Height # Dwelling Units 3r1 Floor Sq Ft Unfiished Bsmt Sq Ft # of Full Baths '/< Baths Y Baths # of Fireplaces Air Conditioning: Yeao Energy info: ( Circle appropriate choice ) 1. ComCheck LJ 2. ResCheck w/Air Sealing Li 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 # List appropriate option #s Water Tap Size Sewer Tap Size Metered: Yes❑Noll Temp. Pedestal Yes No0 Type of Heat: ❑Gas Electric Electric Main Breaker Size (Residentialonly) ®150 Amp or Less 200 Amp Other Value of Construction (including labor, material & profit) $ / � ©vv Description of r. new T e)C l5 Contact Name &Phone # of JOBSITE SUPERVISOR: 1<eN in, Subcontractor Info: Electrical Alrbe All t Qrlce l`I Mechanical �Q Framer '� lRoofing � I r Solar Other 4- At DaD Concrete Other R7o - 21,7-D Plumbing 4I e-. It 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 Fort Collins ord' a Sesand state laws regulating building construction. Applicant Signature +. �---` Print Name 9sys 16^Phone Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE