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HomeMy WebLinkAbout1920 Corvid Way - Applications/Single Family New - 10/04/2011Finished Bsmt Sq Ft City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER JI' ©y .A O 1 APPLICATION DATE Job Site Address (iOry( a'Lt Unit # Last IFO: (All owner information is required — it is not optional) Phone #. LTG khG - First Name Street Address DTP '?, Middle City f K zf State 6 Zipj'or�;Z'c CONTRACTOR INFO: Company Name f //Il�i� �/?y L ��� Contractor Phone # Lic Holder Name 4.fs ZILMle City of Fort Collins License # Supervisor Certp# Mailing Address �'%�� /J /ate�� 74 CityT State � Zip Q or;2jl�' LEGAL INFO: �� q Subdivision/PUD it GL ✓lam/ /By✓ Filing # Lot # / / Block # Lot Sq Ftt/�Or 7 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) / Total Garage Sq Ft 7,7- Residential Sq Ft / (// Comm] Sq Ft # of Stories r Bldg Height /"/ # Dwelling Units t/ l s' Floor Sq Ft /7 / 2nd Floor Sq Ft # of Bedrooms -T # of Full Baths o2- % Baths 31 Floor Sq Ft Air Yes ' N Energy info:( Circle appropriate choice) 1. ComCheck 3. Re —.;Check w/Blower Door 4. Simulated Performance Alternative City of Fort Collins Stock Plan # /1) l 3 Unfiished Bsmt Sq Ft / 3 r73 /2 Baths # of Fireplaces 2. ResCheck w/Air Sealing 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door List appropriate option #s UTILITIES INFO: Water Tap Size 3�7 Sewer Tap Size Metered: Yes o No ' Temp. Pedestal Yes or No Type of Heat: )<Gas ❑ Electric Electric Main Breaker Size (Residential only) 74 50 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ /o70 1 _ _ n G Description of Work: Contact Name & Phone # of JOBSITE SUPERVISOR: fC(Atr /yc('l 41,gf 0'� —00 Subcontractor Info: Electrical//}j/ /� //��M-echaanical Plumbing Framer GG/A Roofing C4NGim Concrete Fireplace Solar Other Other Other Applicant: I hereby acknowledge that I have r ad this application and state that the above information is correct and agree to comply with all requirements contained herein and City of F ollin ances and state laws regulating building construction. Applicant Signature Print Name I' \ d r ellic Phone 1WrOl-M Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE