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HomeMy WebLinkAbout6343 Rookery Rd - Applications/Addition or Alteration - 09/29/2014Fort Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fegov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER � 10 1©J k APPLICATION DATE '? 0,7- /G Job Site Address_ 6 3 L-13 ?rk1iW0,rn A 2CQ Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # r % c3 - L�7 , Last name Ue5�'- First Name 21 ck Middle Street Address 6 3 L- CitC. State_<LZzip O -2� CONTRACTOR INFO: Company Name n LLC Contractor Phone # 4q;70- S� Lic Holder Name MaC L-' City of Fort Collins License # D-G 2 S Supervisor Cart # S O Cf Mailing Address P,0, Be -:DC 5U3 City Lri ( c. State _zip 906-?> LEGALINFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft_ CONSTRUCTION INFO: Total Building Sq Ft (not including Residential Sq Ft Comm'I Sq Ft 11 Floor Sq Ft Finished Bsmt Sq Ft 2n' Floor Sq Ft Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units 31 Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths '/< Baths 1/z 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 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: List appropriate option 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) $ Description of Contact Name & Phone # of JOBSITE SUPERVISOR: / 'rc 4 wr(aus ' 970 661 - SYff-cj- Subcontractor Info: //�7 C K�pp&M�It`ti �tb6s - 97o -SGb -933 G Electrical' - WCJ 1r, rmi-Mechanical t✓Y1�I�l.L, .�: �� Plumbing All mt7toGLvf' Framer Solar Roofing Other Concrete Other Fireplace Other Applicant: I hereby acknowledge a have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fo lins ord�6-- te laws regulating building cons-� /1truuction.Applicant Signature ��""Print Name c..) t vvn b rJ S Phone 7 70 - 54 b-,C Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE