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HomeMy WebLinkAbout7500 Streamside Dr - Applications/Basement Finish - 01/13/2014City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fegov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER b) Li V C) I -> l J APPLICATION DATE ✓ 1/4 Job Site Address 45oo br. PC 80szsunit #, PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 20 -tog 9- 3110:7 Last name Eo-ri n4 First Name �rrrnc VI rfOrt Gam- Middle '<.�rn� Street Address 1-500 S76-1rde. ') ri Vr_ City For'f-ColItrtS State—co_zipswS -S- CONTRACTOR INFO: Company Name ^©ng it no P�r.c9ri 2 i,r,� Contractor Phone # 970— L195- 15 33 Lic Holder Name b 1 C_l< fl"-FrCity of Fort Collins License # Supervisor Cert # Mailing Address �7149 _ U n� h �)[City tpA � State i0 zip 'Rb5.2 V LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including Total Garage Sq Ft Residential Sq Ft U �k��omm'I Sq Ft # of Stories Bldg Height # Dwelling Units 1 s' Floor Sq Ft Q anu 2nd Floor Sq Ft r7 a oo.,,y 3r° Floor Sq Ft Unfiished Bsmt Sq Ft 3 -�>-T Finished Bsmt Sq Ft 1 32 D # of Bedrooms I # of Full Baths — -/< Baths I '/z Baths # of Fireplaces Air Conditioning: Ye 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: 6slor 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) $ 04 4,w VYna 64 a a Ow Description of Work: C2.LL �.,� %�aA vv. iry jm�nCtpj ar�w Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: l- Electrical ,Q.I10k0r'\ Framer '�o^ S .,4gjj,;Roofing — Solar Other Mechanical WC - Plumbing i�>Onr_ PIIAphiv,�� Concrete Fireplace Other 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 ordinances and state laws regulating building construction. Applicant Signature Print NameC/tr; na Phone —j CeA4303 -1d,7- ooq-�, Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE