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HomeMy WebLinkAbout1619 Redberry Ct - Applications/Addition or Alteration - 06/22/2010COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N College Ave Fort Collins CO 80522 0580 Phone 970 221 6760 www fcgov com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER l ©` J ,3c/ o2 / APPLICATION DATE 6 - a a -/ (9 Job Site Address /6fi RED ✓T Llou,eT Unit #_ PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # 0 70) 377- 201, Y Last name uE L- First Name ✓n rElick Middle Street Address I&II j?tEjMDCc./ !! ^ City �0 Coi��r,6 State t_o Zip 5-bTLE CONTRACTOR INFO Company Name Fosm Z t.o, tin UtFS iGn) Contractor Phone # (970) 6 10 - 1 S-9 y Lic Holder Name —Tay.-, ,/ 1b S TtX City of Fort t Collins License #D.2 -.Z V Supervisor Cert # // 8 Mailing Address (A /QYC Ig w/FTi�CFi2elnrr IX iCity &t_T pw wS State CiV Zip flT7-q LEGAL INFO Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO Total Building Sq Ft ( t I d 9 ba m t) Total Garage Sq Ft Residential Sq Ft Comm I Sq Ft # of Stories Bldg Height # Dwelling Units �l Floor Sq Ft Finished Bsmt Sq Ft 2 Floor Sq Ft 3 Floor Sq Ft # of Bedrooms # of Full Baths / Baths Unfiished Bsmt Sq Ft / Baths # of Fireplaces Air Conditioning Yes No Energy info ( Circle appropriate choice ) 1 ComCheck 2 3 ResCheck w/Blower Door 4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing City of Fort Collins Stock Plan # UTILITIES INFO List appropriate option #s ResCheck w/Air Sealing (` 6 Prescriptive w/ Blower Door 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) $ 7 �1 4.0 ZO.�_, 00 Description of Work �p A CiWs F,2Po/00VE Lau a1,yo 13phLL C_i_OSET Apt) A FLco'c oViec. CiVr W pac �iyG,niL��OtaN FDrt S j& nfFIii-E. Contact Name & Phone # of JOBSITE SUPERVISOR—T3!vkq FST-j r%f_ (970) (o4b- / r9 8 Subcontractor Info Electrical 4 L !2 � cTx-,, C_ Mechanical A-) 41i9 Plumbing �vao�arttc- /'L yn e3 i Nfy Framer �57�tC. f nNST, S Roofing �)&r/AJ4Concrete Fireplace AcA.*j jirA p S b 4sr_ Solar Other 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 Name�it.r+c1� /o.3�+C- Phone` 70) 0-)J_f6 Distribution White - Office Yellow -Applicant Pink -WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE