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HomeMy WebLinkAbout348 Albion Way - Applications/Deck - 08/28/2014City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 /11Zl www.fcgov.com/building BUILDING PERMITAPPLICATION APPLICATION NUMBER t ' L bDS l APPLICATION DATE Job Site Address 3 Y2 0) Vion 1Nc4 Fort co 0(n5 809 Unit # ti'%r+ PROPERTY OWNER INFO: (All owner Information Is required - it is not optional) Phone # CE% U -- ZZ `%— 31 S L Last name a V �— First Name xy) 2— Middle B racl) 4P Street Address 3 q e? hl u n W cry City Fort State Zip tJs CONTRACTOR INFO: Company Name �%�� Contractor Phone # Lic Holder Name City of Fort Collins License # Supervisor Cart # Mailing Address City State Zip LEGAL INFO: 1 f� Subdivision/PUD SOUfI� &-I �n P V D Filing # / Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft Residential Sq Ft Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units 131 Floor Sq Ft 2nd Floor Sq Ft 3,d Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths 112 Baths # of Fireplaces Air Conditioning: Yes[INon 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 wl Blower Door City of Fort Collins Stock Plan # 11LITIES INFO: Water Tap Size Sewer Tap Size Type of Heat: 11Gas ❑Electric Electric Main Value of Construction (including labor, material & profit) List appropriate option #s Metered: Yes []No[] Temp. Pedestal Yes No Size (Residential only) Ill50 Amp or Less ❑ 200 Amp Other L! 7f /© Description of Work: deo 1fkCEtihen-t- 0 - C-foso!:,4 loaf jcA Ljooc-A clacAS to-1 1k a, S Contact Name & Phone # of JOBSITE SUPERVISOR: KVl e —Tj&c he,- G ? 0 - ZZ-'i - 3 % 6`1 Subcontractor Info: Electrical Framer Roofing Solar Other Mechanical Concrete Other Plumbing Fireplace Other Applicant: I hereby acknowledgg 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 ft Collins oros and state laws regulating building construction. Applicant Signature /i Print Name Kih TCLyye, Phone '?70 Z-7-9 31'5'f Distribution. White - Office Yellow -Applicant Pink - WWW/Slormwater Tdki98 APPISYCAT9ON EXPORES 180 DAYS FROM APPLICAT90H DATE