Loading...
HomeMy WebLinkAbout925 Sitka St - Applications/Shed - 08/02/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES of F6rt`iCollins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION<<� APPLICATION NUMBER � l a o -i `C O APPLICATION DATE 'q -c�2 ✓ ` `2 Job Site Address Z � o S4-. 4�1(iU1g,(°� goS1�{ Unit # ROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # -t 70 32 2- cl 19 P Last name Se First Name ' Middle Street Address S +6 S }. City�&C+ CORA State --Zip CONTRACTOR INFO: Company Name Lic Holder Name Mailing Address_ LEGAL INFO: Subdivision/PUD Contractor Phone # City of Fort Collins License # City. Supervisor Cert # State Zip Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height_ 1It Floor Sq Ft Finished Bsmt Sq Ft 2nd Floor Sq Ft 3'd Floor Sq Ft Total Garage Sq Ft # Dwelling Units Unfiished 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 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: Water Tap Size Sewer Tap Size List appropriate option #s 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) $ Nk description of Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical r Concrete Other ltY Plumbing Fireplace Other Applicant: I hereby acknowledge at 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 ordinances and state laws regulating building construction. ,>�Applicant Signature Print Name qtel( �Q�I� PhonegILl- 3p:c r Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THUS APPLOCAVOOM EXPORESS 180 DAYS FLat©M APPLOCATOOM DAVE