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HomeMy WebLinkAbout1518 Brentford Ln - Applications/Addition or Alteration - 04/02/2012 (2)City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 / www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER �eZX APPLICATION DATE Job Site Address 1518 84EA1TF(7)?.n / T)Cl' 5o2$ Unit # ./_Z21 PROPERTY OWNER INFO: (All owner information is required —it is /not optional) Phone # 9 70. L 3 / 99 Z 7 Last name 1✓f'.6T VE_R First Name �JD/-I.A t Middle Street Address .21aly.s '///�ijYERZ; lE eJ4 —101 City 6kr enLZ/NJ State_C0 _Zip 3052-5 CONTRACTOR INFO: Company Name Lic Holder Name Contractor Phone # City of Fort Collins License # Supervisor Cart # Mailing Address City State Zip LEGAL INFO: ,( ,(�1 Subdivision/PUD �U[�/f a Jr7©���1 PL)1 ,Filing # Q Lot #— Block # Lot Sq Ft1462 5 \ CONSTRUCTION INFO: Total Building Sq Ft (not including basement) () (0 Total Garage Sq Ft 19 2 Residential Sq Ft19 � Comm] Sq Ftn ja # of�S7� tories_� Bldg Height # Dwelling Units 1" Floor Sq R 2635 2"d Floor Sq Ft 13 , ( 3rtl Floor Sq Ft Unfiished Bsmt Sq Ft x� Finished Bsmt Sq Ft JIL!? # of Bedrooms '5 # of Full Baths A_ 3/. Baths Y: / Baths / # of Fireplaces 13 Air Conditioning: Ye400 Energy info: ( Circle appropriate choice ) 1. ComCheck 11 2. ResCheck w/Air Sealing 11 3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Doom City of Fort Collins Stock Plan # List appropriate option UTILITIES INFO: Water Tap Size Sewer Tap Size Metered: Yes 2NoF_1 Temp. Pedestal Yes❑ No ❑ Type of Heat: 2Gas n Electric Electric Main Breaker Size (Residential only) �150 Amp or Less E2 00 Amp Other Value of Construction (including labor, material & profit) $ 2 CV 0000 of Contact Name & Phone # of JOBSITE SUPERVISOR: JOgn/ k/Ej mVzk 9 W, 231 ,/ / 7 Subcontractor Info: 1 Electrical Mechanical Framer Roofing ' ' Concrete Solar Other Other Plumbing Fireplace Other Applicant: I hereby acknowl g that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and Ci of For C li rd' c a d st ge building construction. Applicant Signature Print Name Phone Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE