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HomeMy WebLinkAbout356 Pascal St - Applications/Single Family New - 12/02/2014Fort Collins APPLICATION Job Site Add COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-418-2740 www.fcgov com/buiIding BUILDING PERMIT APPLICATION 61 L f I QC4- S APPLICATION Unit # PROPERTY OWNER INFO: (All owner information is required- it Is not optional) Phone ,#.- "1 10 Last name `F'F O/m!1'I" L Tp First Name Middle Street Address ?i�r E �""/-' [�— City �°--�II� ItnS State C'd ZipSOSZ` CONTRACTOR INFO: Company Name p FA &,eA4 Contractor Phone # 'T1(i - 2(q --6677 Lic Holder Name Ar.. ILL MMRA��ycI k ,,tt ,,,� City of Fort Collins License # ?s5- Supervisor Cent #D Mailing Address <3q5- r. fKcL L-/a,`n A-v- - City ffdr i �d���YtS State C6 Zip oz, LEGAL INFO: 1 mot- t� Subdivision/PUD C (d I A IVOL Filing # Lot # Block # Lot Sq Ft SZZ T • S3 CONSTRUCTION INFO• Total Building Sq Ft (not including basement) N 10 Total Garage Sq Ft t? Residential Sq Ft 1710 0 Comm'I Sq Ft # of Stories 2 Bldg Height _# Dwelling Units A 1" Floor Sq Ft '3 7, 2- Floor Sq Ft e p g-5 3b Floor Sq Ft Unfiished Bsmt Sq Ft (066 Finished Bsmt Sq Ft # of Bedrooms �, # of Full Baths � % Baths _ '/ Baths �# of Fireplaces Air Conditioning: Ye NCE Energy info:( Circle appropriate choice) 1. ComCheck11 2. ResCheck w/Air Sealing ❑ 3. ResCheck w/Blower Jrl 14. Simulated Performance Alternativeo 5. Prescriptive w/Air Sealing El 6. Prescriptive w/ Blower Doo� City of Fort Collins Stock Plann# pit �7 List appropriate option #s UTILITIES INFO: 1 I L Water Tap Size Sewer Tap Size Metered: YesE]No❑ Temp. Pedestal Yes® No❑ Type of Heat: I/ V Gas ❑ Electric Electric Main Breaker Size (Residential only) 150 Amp or Less ❑ 200 Amp ❑Other Value of Construction (including labor, material & profit) Description Contact Name & Phone # of JOBSITE SUPERVISOR: K" t�, - ;ro 06 / Subcontract/o�r Info: II,n, ,Q ./� /� Dj Electrical K'!'C t�ri0)G [� ric Mechanical A.,(- P(Oa�t,49 Plumbing A le-2 P` mbf,4 Framer J 1; � S P- �u.f�6fSRoofing &OPAL) fdaCr� Concrete .S. �7 • ZrtC' • Fireplace w�y�'n f Solar 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 Print Name v-eNl n V� Phone T70 Zlq 067( Distribution: White -Office Yellow -Applicant Pink -WWW/Stonnwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE updated 1-31-2012 F6..-f coUgns piiHfilirig, Dovoiapi-:any Community Development & Neighborhood Services 'C'®OR6 17 o srnw-M ff"-Fr XkrA7 r9f aging 0110 heat fee;3 3 must be wed), use this f0m it•®s spwgle amily6� P®rralkHumber. L9 � EJ Address: �J5-6 zZ ®I&8E(CaI®NS: Placedaez iiei�L' Co f0 e3pa�ve,G5 �,13r s�'sn+ie arag theca©§en. An air _tQqhtneS3 010Vres ®©sir e�d io regUiVed ab>,d Isat3bt pass a a, ACd4 Heatcae�9, n 119W H I(A)P� SlS(3E� ct� plimm-N €€sr iaouse, 2009IRC, sezitlors N1 02.3, rJOMata EcH a 5. Buz N R "VALOE �j9HOULATME Wood frame wall insul r--value (� R-20 or 13+Sci Metal frame wall insui r-value , Crawl space wail d R 13 .-9ci or R 19+8 R-:! 3 or P. IOci Roof insulation in attic R S - - — R-30 Roof rafter insulation � Wails below grade R 13 / RAOd Wood floor over unun-cond R 30 Slab on grade floor, unheat R-10, 24" DEEP .f-..d ..� I U-135 299 culation (i.eiude addreCheek). energy rating system must be utilized using approved computer software tool such as the new modified Fort [ins version of RemRate. A preliminary rating passing the 2009 IECC must be submitted at time of application. ina must include Address, Name of individual completing the ratng,& Name & version of software tool. Final . SIGN: DATE: CONTRA�OR: PHONE: C( 70 -z1%Obr/