HomeMy WebLinkAbout5324 Jonathan Ct - Applications/Addition or Alteration - 04/15/2014COMMUNITY 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 S I l V' - 1 51 APPLICATION DATE
Job Site Address JrJortQ 14� Cpvr�, /=t&&, b'dS-Z 6 Unit #.
PROPERTY,, OWNER INFO: (All owner information is required- it is not optional) Phone # l 7-20 f 2, LII •-
Last name Wja 431y, First Name (/ycip/v S Middle
Street Address �Y Z y Lw 4Q&1 c..F)(Iv / City ! * (o/�r�C State Cc Zip OS Z
CONTRACTOR INFO: Company Name /S P L7 Contractor Phone #
Lic Holder Name
Mailing Add
City of Fort Collins License #
Supervisor Cert #.
State Zip
LEGAL INFO: �f
Subdivision/PUD A���e ��� �r�s Filing # //- s 2r Lot #_�Y Block #0Z// Lot Sq Ft%Oq_
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) �7 S / Total Gar g Sq Ft
----Tess A,vi IF, Residential Sq Ft 17 17 Comm'I Sq Ft A/A # of Stories Bldg Height t c i h # Dwelling Units A14
StvurG
1" Floor Sq Ft 2"d Floor Sq Ft IfA 31 Floor Sq Ft NA Unfiished Bsmt Sq Ft AA
Finished Bsmt Sq Ft 04 # of Bedrooms # of Full Baths '/. Baths Y2 Baths # of Fireplaces
Air Conditioning 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 #
List appropriate option
UTILITIES INFO:
L ct It
Water Tap Size � Sewer Tap Size / Metered es r No Temp. Pedestal Yes or No
Type of Heat: OGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less X 200 Amp ❑ OthE
Value of Construction (including labor, material & profit)
•
Description of Work: YS 3 , e s4• %! 4c//(/L oL. nmcp-e S/Y�
Contact Name & Phone # of JOBSITE SUPERVISOR: _
Subcontractor Info: r
Electrical �g 4,�P L Mechanical
Framer
Solar
Roofing
Other
Concrete
Other
Fireplace
Other
Applicant: I hereby acknowledge that I have read thi appli tion and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort,Col' s r finances and to laws regulating building truction. d4e*41
qApplicant Signature Print Name d V (AS / �' Phone / 70Zt 3 q>> S
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE