HomeMy WebLinkAbout2209 Clearview Ave - Applications/Addition or Alteration - 07/29/2015City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ I www fcgov corn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER �� �iC/ �JAPPUCATION DATE —1 - 09 16
Job Site Address2209 Clearview
PROPERTY OWNER INFO: (All owner information is required- it is not optional)
Last name Rosenthal First Name Mike
Street Address 2209 Clearview
CONTRACTOR INFO: Company Name Site Solutions
Unit #
Phone #630-788-4495
Middle
Fort Collins
Contractor Phone
_ state C O Zip 80521
970-218-3390
Lic Holder Name Brian Stephenson City of Fort Collins License # 666 Supervisor Cert # 666
Mailing Address 330 West St CityFort Collins State CO Zip80524
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq
15' Floor Sq Ft
Finished Bsmt Sq Ft
20d Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
It of Bedrooms # of Full Baths % Baths '/ Baths # of Fireplaces
Air Conditioning: Ye_�]Nou 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 []No❑ Temp. Pedestal Yes No ❑
Type of Heat: D Gas ❑ Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ $3,000
Description of Work:
Install 3 4'x4' Egress winclows per IRG Code and Engineer letter
Contact Name & Phone # of JOBSITE SUPERVISOR: Brian 970-218-3390
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
Applicant: 1 hereby acknowle that I h ve read this apgli ation and stale that the above information is correct and agree to comply with all requirements
contained herein and Oily ort Collin ordinancesd's to laws regulating building construction.
Applicant Signature Print Name Brian Stephenson Phone 970-218-3390
DTstributZ-441"TION
White-Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLI EXPIRES 180 DAYS FROM APPLICATION DATE