HomeMy WebLinkAbout2743 Adobe Dr - Applications/Addition or Alteration - 07/25/2014City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION a5
APPLICATION NUMBER_ I v�l L/ 1 APPLICATION DATE— 2:S>� I 1
Job Site Address � Anbr X)f Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # J -� 69 - H315S
Last name I VC MJ First NameV-GL/t�% / Middle t� ,�. r
Street Address a7 � p� s p it City & ( I/ i n 9 State�_Zip W
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Add
LEGAL INFO:
Contractor Phone #
City of Fort Collins License # Supervisor Cent #
City
State Zip
Subdivision/PUD i 'lt'R a OW6 ifanit5U 6 Filing # Lot #�� Block # Lot Sq Ft /
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) �So Total Garage Sq Ft Y00
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units _
15' Floor Sq Ft 5�X 2nd Floor Sq Ft 52-5 31 Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/. Baths '% Baths # of Fireplaces
Air Conditioning: Yes /xGol
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas XElectric
List appropriate option
Metered: Yes or No Temp. Pedestal Yes or No
Electric Main Breaker Size (Residential only) K150 Amp or Less ❑ 200 Amp ❑ Other
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor I fo: lll�S-S t
Electrical Mechanical Al Plumbing P\SAP pf vAAn j_
Framer
Solar
Roofing
Other
Concrete
Other
Fireplace
Other
Applicant: I hereby ack edge t t 1 have read thi placation and s that the above information is correct and agree to comply with all requirements
contained herein an ity of F Ilins ordina s a state laws r Iating building construction.
Applicant Signa re rin Name 4� ceL.J Phone �,c �3
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE