HomeMy WebLinkAbout3909 Yosemite Ct - Applications/Addition or Alteration - 03/01/2011City o COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
wwwAcgov corn/building
BUILDING PERMIT APPLICATION
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APPLICATION NUMBER V 'V � APPLICATION DATE `/✓/
Job Site Address 3909 Yosemite Ct. Unit #
PROPERTY OWNER INFO: (All owner information is required —it is not optional) Phone # 970-556-8739
Last name Choury First Name Cliff Middle Samuel
Street Address 3909 Yosemite Ct. city Ft. Collins State CO Zip 80525
CONTRACTOR INFO: Company Name Same as property Owner Contractor Phone #
Lic Holder Name
City of Fort Collins License #
Mailing Address City.
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
Supervisor Cert #,
State Zip
Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
111 Floor Sq Ft
20° Floor Sq Ft
31" Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths I% Baths % Baths # of Fireplaces
Air Conditioning: YeGon Energy info: ( Circle appropriate choice ) 1. ComCheck 11 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door 11
4. Simulated Performance Alternative❑ 5. 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[] No[] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas nElectric Electric Main Breaker Size (Residential only) F-1150 Amp or Less R 200 Amp DOther
Value of Construction (including labor, material & profit) $_ X " 4OW0 , / �/ 0 6
Description of \
Utility Room
Contact Name & Phone # of JOBSITE SUPERVISOR: Cliff Choury 970-556-8739
Subcontractor Info:
Electrical
Framer
Solar
Mechanical
Roofing
Other
Applicant: I hereby acknowledge that I
contained herein and City of Fort Qqllin
Applicant Signature i
read this
Concrete
Other
Plumbing
Fireplace
Other
plication and state that the above information is correct and agree to comply with all requirements
state laws regulating building construction.
Print Name Cliff Choury Phone 970-556-8739
White —Office Yellow— Applicant Pink — WWW/Stormwater