HomeMy WebLinkAbout504 Maple St - Applications/Addition or Alteration - 04/20/2011City of . . COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES.
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416y2740,4 al tj, IV
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BUILDING PERMIT APPLICAT O
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APPLICATION NUMBER 11 [6D 4_ rAPPLICATION DATE
Job Site Address 504 Maple Street Unit # `---
PROPERTY OWNER INFO: (AD owner Information its required- It Is not optional) Phone # 970-493-7890
Last name Resau First Name Laura Middle
Street Address 504 Maple Street city, Fort CollinS state CO Zip 80521
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CONTRACTOR INFO: Company Name CJR Construction Contractor Phone # 970-490-2962
Uc Holder Name BtiOB Brown City of Fort Collins License # D554 Supervisor Cert.#
Mailing address 124 Fishback Avenue. _ _ _ City Fort Collins State CO zip$0521
LEGAL INFO:
Subdivision/PUD Filing '# Lot # Block # 63 Lot Sq Ft 4300
CONSTRUCTION INFO: Total Building Sq Ft (not including basement). 1706 Total Garage Sq Ft 240
Residential Sq Ft 860 . _ _ Comm'l Sq Ft_ # of Stories 2 Bldg Height 2116" # Dwelling Units
1 Floor Sq Ft 2n° Floor Sq Ft 860 31i Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms :3; # of Full Baths A -/+ Baths �_ % Baths # of Fireplaces
Air Conditioning. Ye�N Energy info: ( Ci►de appropriate dwke) 1. ComCheck 2. ResCheck w/Air Seating
3. ResCheck w/Blower Door . 4. Simulated Performance Alternative S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # . _ List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes 1-71NoEl Temp. Pedestal Yes No ❑
Type of Heat: n Gas ❑Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less 200.AmpOther
Value of Construction (including labor, material &, profit) $ (1 7 } a-74
Description of Work:
Add second story
Contact Name & Phone # of JOBSITE SUPERVISOR: Cynthia Reffler 970-21"118
Electrical Lazy Eight EWrics Mechanical
Framer � 1.5611 cla9flifing
Solar �`other •
Plumbina Aggie Plumbing
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 Cfty_gqort Collins o nces-and regulating building construction.
Applicant Signature rint Name Cynthia Refflei Phone 970-400-2962
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