HomeMy WebLinkAbout1949 Etton Dr - Applications/Addition or Alteration - 02/12/20141
City
}of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI ` Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
1 (� BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1g00(Cg1 APPLICATION DATE
Job Site Address %94%q JQ40f) fJr ✓e Qr-� C01/1n5 6"0Unit #
PROPERTY
�OWNER INFO: (All owner information is required - it is not optional) Phone #
Last nameMr r Fgd d e -1 First Name C L5 Middle
Street Address' '-I q E l�n If i v i City Poe- Co I I I- S State_ Cd Zip
CONTRACTOR INFO: Company Name jj 1 i �h4 5P KLS%�gi 0n Contractor Phone # 9?0- 3 - 1Zi0
Lic Holder Name _3 ► )5.5 eY"1 City of Fort Collins License # _V%- Supervisor Cert #
Mailing
LEGAL INFO:
Subdivision/PUD Filing #_
State Zip
Lot # Block # Lot Sq
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
1" 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 /z 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
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) $ /00, 00 0
on of Work: PePgjr jatr7o,5e_ Pr,3o-, F:r< fo jnCiNc/(.40W SVS/Pz.. &IJW411,P/1417nb,'-7f 4&117iee
Contact Name & Phone # of JOBSITE SUPERVISOR: ZP-6
Subcontractor Info:
Electrical a 4--k4rx Mechanical
Framer&li �r'O CDny/rvCil RoofingAli t hC/5P trPS00/1'4Concrete
Solar
Other
Other
Plumbing 40t0 9 Pl14y,6/-I�
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 ordinances and state laws regulating building construction.
Applicant Signaturej�'Z� W�,..� Print Name Z1°-6 rv-\ l I I f/ Phone 420 -3,T?/
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE