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HomeMy WebLinkAbout1624 W Swallow Rd - Applications/Deck - 07/14/2014City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES �t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION ��g APPLICATION Job Site Address APPLICATION DATE 1-1 1 Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 9� — kp 5- — �© rp Last name T%/Aed >� First Name U e- -"f- Middle O Street Address l fO�`i LCJeSf ,�C.L.tL(�f� i 2� �Ci/ty]_C lm `( %?S State CO Zip O CONTRACTOR INFO: Company Name Truce Getz 114 Contractor Phone # �j 902- 3� Lic Holder Name A111 Ar-QSer" City of Fort Collins License # � /b' Supervisor Cert # Mailing Address919� Cl ?/3 City �1445 State en LEGAL INFO: Subdivision/PUD Filing # Lot # 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 181 Floor Sq Ft 2"d Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt 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 rT . 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 # List appropriate option #s UTILITIES INFO: 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 ❑ 200 Amp [-]Other Value of Construction (including labor, material & profit) $ 74, 6040 Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Roofing Solar Other Mechanical Concrete Other Plumbing Fireplace Other Applicant: I hereby acknowledg that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of F Collins ordi_R tes` and state laws regulating building construction. Applicant Signature -Aet-W- / Print Name f�/ �%�ISLi Phone Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE