HomeMy WebLinkAbout239 Urban Prairie St - Applications/Duplex - 10/21/2014Ci$y ®f COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 00
www fcgov.comlbuilding��[� .
(S 8p — ( BUILDING PERMIT APPLICATION
APPLICATION NUMBER l / I - APPLICATION�DATE
Job Site Address a3? U R_8AW Pre 4 /-S`i-Reer Unit #
PROPERTY OWNER INFO: (Ali owner information is required - it is not optional) Phone # ab ?i .s88' 6 6 -2/
Last name /.o-,.�iu-2 PAo&eTren .(LC First Name Middle
Street Address O 8 ox 99 o City 06-A Lt_4&-A State-zm—Tip
CONTRACTORINFO:CompanyName Iti,jr4p 4 Cnnsf/t�/ail .rA)e-- Contractor Phone # '7;70 6;;2 ad,/
Lic Holder Name Au I 0 Yhi Ui OS City of Fort Collins License #d y4 a Supervisor Cert # /A 99
Mailing Address W 1U B(&g. Sprats_ igM P, City FOr+ Col/„)5 State 0-06 Zip.
LEGAL INFO:
Subdivision/PUD U,4?Cat-0- Filing # Lot # Block #__L_ Lot Sq Ft
' CONSTRUCTION INFO: Total Building Sq-Ft (not including basement) a w Total Garage Sq Ft y �0
Residential Sq Ft 41I D Comm'I Sq Ft # of Stories o`Z Bldg Heigh 4=AS-I;`r # Dwelling Units a
Is' Floor Sq Ft Ia 3 1 rend Floor Sq Ft '7S7 :MF r SqFt Unfiisheo:6srr'Sq Ft
Finished Bsmt Sq Ft Z ## of Bedrooms
` , # of Full Baths '/ Baths Y.Baths # of Fireplaces
Air Conditioning. Yes No • Energy info: (CrrGe app- ropliate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck wBlower Door (9.3imulated P -h+s ance Altemative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower-t)oor
i
City of Fort Collins Stock Plan # ' PL= s `- - LisYappropriate option #s y
UTILITIES INFO: ..
Water Tap Size 3� Sewer Tap Size Meteneri�or No Temp. Pedestal or No
Type of Heat []Gas ❑ Electric J / Electric Main Breaker Size ((Residential only) 0150 Amp or Less ❑ 200 Amp ❑ Other
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Value of Construction (induding labor, rAaterial �,yrofd) S c213. �7fnt?. _
A.l -i D"i IaR-- it 9 .d.-,
Contact Name & Phone # of JOBSITE SUPERVISOR: QQ_,,,e Lit &9.5 !JO Z22 9W
Subcontractor Info:
Electrical A LR Mechanical P�� Zefif %Gri'I D Plumbing /5 4/IA•Q
Framer-_ rn \ _ _G\ Tqf=_ , Roofing -Tria4.>Da SConcrete VA P, 6,1k 5 Fireplace
Solar Other Other Other
Applicant 1 hereby acknowledge 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 Fort Collins o ances and state laws regulating building construction. �t G�
Applicant Signature�rx-P M/111� Print Name Ulm /y�y�. ELF Phone G�� G 7�?ooeq
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater