HomeMy WebLinkAbout3036 Dunbar Ave - Applications/Deck - 05/09/2014 (2)City
}off COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collinsll281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ wwwAcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBED N & P e PJ APPLICATION DATE_ _ _ I ' 1 /Cy oq
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Job Site Address .3o 3 (o IDcAwi liar Y f ve, Unit # 7�4 /y
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PROPERTY OWNER INFO: (All owner Inform(atlo Is requlfedr�,Wnrppjional) Pl pny # R 70 - %Z O y' O � O I
Last name ��I C"�f i qln Ct7a eS finrst Name Middle
Street Address/531 (/✓, SWyI/�nfn[� If`l 1(( 33®®CityRpt' Col/;I s State CID Zip US 2 (�
CONTRACTOR INFO: Company Name ,"t (t_f Q�wl . e.rs Contractor Phone # 970- � �2 `I- SOZ.'%
Lic Holder Name t/or� J Imo_ J CO -IL City of Fort Collins License #� Supervisor Cart #�O6%- L�
Mailing Address '230-7 inve ,,46o4 C-C CityAr-'4 Co/hPIT State CO Zip
LEGAL INFO:
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft,IP)0 Comm] Sq Ft # of Stories Bldg Height # Dwelling Units
111 Floor Sq Ft
Finished Bsmt Sq Ft
2n° Floor Sq
3f0 Floor Sq Ft
Unfiished Bsml 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 S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
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 El200 Amp' El Other
ak
Value of Construction (including labor, material & profit) $
Description of
15�.1 /IH �CLI+KS -
Contact Name & Phone # of JOBSITE SUPERVISOR: 0:� n Scott C�70 - ` 31- b l YI
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknow dge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and C' of ort Collins o i antes and state laws regulating building ,c"onnstruction. Q
Applicant Signature �__ Print Name t-�an `�Cptt Phone /70 ".�2r/- SU;t'%
Distribution: While -Office Yellow -Applicant Pink - WWW/Slormwater
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