HomeMy WebLinkAbout2933 Joseph Dr - Applications/Single Family New - 04/30/2014COMMUNITY 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 ( H OZ0 T APPLICATION DATE
Job Site Address 293S 1SEPt* 1�v_ Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name C'v%) n. « �b t!L PLC First Name
Middle
Street Address_ QO 6o)C Zoulp City CotLT (owt.,1S State--C&L_Zip 6052,2
CONTRACTOR INFO: Company Name ';pv paT iHOwsl% Contractor Phone # IR-10 4712 - Stefe7
Lic Holder Name Ft L.ar1 �TQoPE City of Fort Collins License # G2 7'1 Supervisor Cert #
Mailing Address_ P6 begk 2oto(A City_1'oefr L%-AgMS State L0 Zip QiU52Z
LEGAL INFO: I
fteyL
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Subdivision/PUD ?-%t.ye a FA¢MS '✓ Filing #mil _ Lot # (7 i BI� k #� Lot Sq Ft 66 0 U
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft "41 f
r %I
Residential Sq Ft i ipg ✓ Comm'I Sq Ft # of Stories 1 Bldg Height 19 _ t # Dwelling Units
161 Floor Sq Ft 14 D$ 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft 53
Finished Bsmt Sq Ft 521V/ # of Bedrooms 4 / # of Full Baths I '✓ 3/d Baths 1v/'/z Baths # of Fireplaces 1 /
Air Conditioning: Yes No ✓ Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door LIPSimuiated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # I g g 5 List appropriate option #s �-
UTILITIES INFO:
3 at it
Water Tap Size Sewer Tap Size I Metered: &
or
Type of Heat: KGas ❑ Electric Electric Main Breaker Size (Residential only)
Value of Construction (including labor, material 8 profit) $ 1 Z9?41 t
0.5 7. 0o
Description of Work:
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
No Temp. Pedestal & or No
150 Amp or Less `❑ 200 Amp ❑ Other
Aa`] t evr A 9►rn61+1,M.�.a. .rr�1�!✓li
Subcontractor Info: J
Electrical PO w`1 ?.t10 JS Mechanical 14 C+P4 Plumbing O'c,6,k E
Framer _(a�.� W,, Roofing 'Te o CO Concrete Fireplace y-kP47 y 0
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( —*,of Fort Col' dinances an state laws regulating building construction. F
Applicant Signature Print Name pU.V� 01' VWAt4VFL� Phone9l1) �tc-1�
Marls, '��Z-566 Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater $
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE