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HomeMy WebLinkAbout1313 Blue Spruce Dr - Applications/Addition or Alteration - 01/13/2011F6rt Cityof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building F-) _„ BUILDING PERMIT APPLICATION APPLICATION NUMBER �' l Q `yU APPLICATION DATE Job Site Address %315 . j-V'e- P115- Unit # A PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # & 7o 494— 95/1 Last name C/SIAiG% /ul5 C1kA11A First Name Middle Street Add er ssJ3/3 v �P,evc�2 � ,4 City7BL GJN,�j State CO Zip a7.5Z4 CONTRACTOR INFO: Company Name(' O/f/ (.Oit15T. J/1/G, Contractor Phone #(970) %A_50— 7Z5 Lic Holder Name � A;' y %�% ,(��/sd/✓ City of Fort Collins License # Supervisor Cert ## Mailing Address L9¢w 41%O City 2547'0A/ State Co Zip 6W6Q5 LEGAL INFO: Subdivision/PUD~E��Q' �g Filing # Lot # J46 Block # 4 Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft I L3;9' # of Stories Bldg Height # Dwelling Units 15t Floor Sq Ft Finished Bsmt Sq Ft 2nd Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 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 #s 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 X 200 Amp ❑ Other �r Value of Construction (including labor, material & profit) $ 777 10 ov Description of Work: ` �7- jQ4VV'PCi'7—/0A1 Gf//7" jit%5 ✓G7`f %��o l�U/�G�S Aavle2 Sri 10 _39 "-k Contact Name & Phone # of JOBSITE SUPERVISOR: GA.Qy i2/S0N l �7©✓ S3 / —0 777 Subcontractor Info: Electrical Framer Roofing Solar Other Mechanical Concrete Other Plumbing 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. I Applicant Signature Print Name (�Q n� h �zl U 1U10( Vl Phone Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater 4 $ 4 — / S t 9 THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE