HomeMy WebLinkAbout381 Cajetan St - Applications/Single Family New - 06/21/2010/I/
City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N College Ave Fort Collins, CO 80522 0580 • Phone 970 221 6760
/ www fcgov corn/budding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER R / V & APPLICATION DATE 4-31
Job Site Address w I 6xdE N -J 1169eT Unit #
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # lG n er 7 9964
Last name —Musa First Name svyer Middle .4
Street Address Ztil /iAe—r f "w_A6 # 2 City aulllfo State 60,E AZ�1�
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CONTRACTOR INFO Company�� Name �_domj7 I contractor Phone # �3 — 4424
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Lic Holder Name /� O `1� 16,j)_e_ i E:F City of Fort Collins License # D 5i3 Supervisor Cert# �S%gP;S- 1
Mailing Address-74-9 eKeot & Cityft (ZXJ�j KI f State_ D ZIp eo5
LEGAL INFO l'_DJ 40 C9
Subdivision/PUD 'LLD �fN Wli T4 Filing # Lot # � Block # � OLot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not Including basement) ' Z.R 95
Total Garage Sq Ft
Residential Sq Ft 11A5 Comm I Sq Ft # of Stories [ - Bldg Height 'ZO # Dwelling Units
1 I Floor Sq Ft (050 2 d Floor Sq Ft C 15 31 Floor Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 2 '/, Baths
Air Conditioning No
ResCheck w/Blower Do
City of Fort Collins Stock Plan #
Energy info ( Circle appropriate choice ) 1 ComCheck
Unfiished Bsmt Sq Ft 64E!:30/
Y2 Baths A_ # of Fireplaces !/
2 ResCheck w/Air Sealing
4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
List appropriate option #s*+
UTILITIES INFO
Water Tap Size VA It ''11 It Sewer Tap Size � 1' Metere es r No
� Temp Pedest Yes No (�
Type of Heat as ❑ Electric Electric Main Breaker Size (Residential only)
150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor material & profitt)�$
Description of Work C,I]��� �r �J�/✓V�' LY F/C�-l�l JIG fl✓rJMU
Contact Name & Phone # of JOBSITE SUPERVISOR7r� Ti - ^ N 370 F2-&(J 41 j T
Subcontractor Info
Electrical V4 ftodL-*S Mechanical 00)6t.67 Plumbing
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Framer Roofing T1�/��^^tJ Concrete I VV Fireplace
Solar Othe Other Other
Applicant I hereby acknowledg hat/] ve Is pa p ICI anon and state that the above information Is correct and agree to comply with all requirements
contained herein and City of Fo Co(I dmanc and state laws regulating building construction q^1 ry�
Applicant SignVure_ Print NameAwm � '+K. Phone 1 /1��%6
Distribution White -Office Yellow -Applicant Pink - WWW/Stormwater ` /�
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE