HomeMy WebLinkAbout2813 Crystal Ct - Applications/Solar - 04/27/2015City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone. 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER f �I4'�5OZ 1 U S APPLICATION DATE tk-pp- • 2—' " 2x'51 S'
Job Site Address L. 54-cI (Q,(� Unit #
PROPERTY OWNER INFO: (All owner information is required - it isnotoptional) Phone # DO ` Z13 - 017 6
Last name 140 C,� \P"' +"P� First Name FKK, Middle
Street Address 2g13 CRSa-At to. (' City P Fjr+ (011tn5 State to zip cFd5-�ip
CONTRACTOR INFO: Company Name 1�h �2jP.�t e-y r o \-y � iflns Contractor Phone # 301- 4 `t 3 "o 1 t -
Lic Holder Name Fort
A /� City of Collins License # Supervisor Cert #
Mailing Address �0 Lee. RJA RJ 8'ZLt City 96aJ� State 0 zip 0030'1
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
2nd Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/< Baths '/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 # List appropriate option #s
UTILITIES INFO:
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 0200 Amp []Other
Value of Construction (including labor, materii1all& �profit) t$ 4,
Description of Work: fIVSh (00 lr r'67, 14 k
lo,
Contact Name & Phone # of JOBSITE SUPERVISOR: r,, fns I �e! i 303 - LtL3- 011 V' t'e k 3D3 -Q �'-63`1
Subcontractor Info:
Electrical Svdepjj(A� u- -tf �jW6echanical
Framer
Roofing
SolarIv,dgWt-} �iVf"1dther
Concrete
Other
Plumbing
Fireplace
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 F Co ins ordinances and state laws regulating building construction. n
Applicant Signature Print Name �'i"�r �P/+, Phone 3o3 - 4q 3'e 11l
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE