HomeMy WebLinkAbout542 E Saturn Dr - Applications/Addition or Alteration - 09/04/2014City of
wort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522.0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER) 40-7541) APPLICATION DATE 1 - 4 —I l
Job Site Address 54A 5Aru2,4 f>Q tuE Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 7R O -a - 3 &4�2
Last name lYi A UHL p e- First Name_ S rEU r= Middle
Street Address 5-42 S'91289 DRIVE City_Er CO�State C'O zip 166S2!r,
CONTRACTOR INFO: Company Name b6Q&f t L F•ROAA Z:HL= N42'TContractor Phone # 4?76 -.?17-293.g
Lic Holder Name Cf L, [te FO RD N . I'f 467 City of Fort Collins License # Supervisor Cert #
Mailing Address_1339 PARK f21DGFF AR City :E.ATbnl State 420 zip �a-o6 S
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft _
Residential Sq Ft Comm'I Sq
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3'd Floor Sq Ft
# of Bedrooms # of Full Baths % Baths
Unfiished Bsmt Sq Ft _
'/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 prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
Water Tap Size Fs u 15 C Sewer Tap Size F' x I S 7- Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only) K] 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 'bS t�'
Description of Work: AtfF007>EL O PPE It LF Orzt X ITCME-,xt A EPAAeE Cf►rr4AjezZ_ .4?- tjAIUtrt-q f/4k
upegouF McUN-854M im a-14LS � PLi¢xl y EA"r..rs TC YAWS All%-r'a( FWrV/aPs dau�rje.
AAt, D 7-/L,97 7M0-^( a,4-< >1,T47� T.n nnDr- Aq �P Ana
41q e4-s
Contact Name & Phone # of JOBSITE SUPERVISOR: 01, r F Fe9far� P. t-1 4.4?
Subcontractor Info:
Electrical paREK FAAKwt-eo,,4�-%F�-R Mechanical C'$f2�lFfF_� ri'k0V4NjdFP-lumbing CDR��A7F p4undE
Framer 4/Q errfS FaO.,w rMe ;Ro "oting S%M Concrete M944n2m Fireplace
Solar A.114 Other Other Other
Applicant: I 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 ordinances' and state laws regulating building construction.
Applicant Signature C�� "*1 `,� Print Name Ci, I i<Ka A A 14, dL(XA - Phone C%70 . !?_ 9 .3
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE