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Home My WebLink About750 Jerome St - Applications/Single Family New - 12/03/2015 (2)City of Fort Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, Co 80524 • Phone: 970.416-2740 www.fcgov com/building BUILDHNG PERMOT APPLOCATUON APPLICATION NUMBER B 5Ti S 001 __ APPLICATION DATE_` � 15 Job Site Address �5)Unit #. '/ froi �^�;/. PROPERTY OWNER INFO: (All owner Information Is required - It is not optional) Phone # G ' �, - 7 [1v _ Last name First Name _ Middle Street Address .741 ^f.Al: (j Cily (11� I ! '� StaleZip�?�` (I „�_rn,:C�'inirfi/wI +I Qr�•�I+ 111C1 CONTRACTOR INFO: Company Name _l'� �r �_&,t�j fQ Contractor Phone #��_ Lic Holder Name �i,.. �)I 11 City of Fort Collins License # - Supervisor Cart # I. ul� �'----- Mailing Address � q , i City if i �Cl•41ni6 Stale in; _7_ip w -- ... LEGAL INFO: MS pp ,e Subdivision/PUD 1J1 lil'Ji� I'! Till Filing # Lot #� Block # 7 Lot Sq Ft y 1 CONSTRUCTION INFO: Total Building Sq Ft (not Including tasemem)- - — _ Total Garage Sq Ft - juo% 2'/'.f ' # Residential Sq Ft Comm'I Sq Ft ' I # of Stories ,� Bldg Helght_ j.:Dwelling g Units 1" Floor Sq Ft - T_ 210Floor Sq Ft T� 3'd Floor Sq FI 83 Unflished Bsmt Sq Ft Finished Bsmt Sq Ft - # of Bedrooms # of Full Baths _� '/, Baths Baths 1 # of Fireplaces Air Condifloning: Ye&on Energy info: ( Circle appropriate choice) 1. ComCheCN 2. ResCheck w/Air Sealing 11 rtf,_/,(I 3. ResCheck w/Blower Door 4: Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower DoO <. I `` City of Fort Collins Stock Plan # List appropriate option #s_..... .. UTILITIES INFO: Water Tap Size ff Y lSewer Tap Size Ex ^ 'j(Metered: Yes Er Nol] Temp. Pedestal Yes❑ No M Type of Heat: % Gas Electric Electric Main Breaker Size (Residential only) 2150 Amp or Less ❑ 200 Amp DOlher Value of Construction (including labor, material 8 profit) $ Description of Work: Ii1rPl ��niJNlifllrlE �1J5il�l i ��011li!:Gl �Elrarl>rri 1,1, r _ 7grr.r 1'i:+l.il'71'rFP NZ(iL—O 101 Contact Name 8 Phone # of JOBSITE SUPERVISOR: NAV�� h i � Subcq(IS(.act;t Info: Electrical Mechanical hie (kA1F%%i lk'[, Plumbing iA& S hi"AlAit � AFAi'4%ii IJI T 1 t �1 Concrete 1 �7(� Fireplace I �jl i Framer _ Roofing P 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 Fort d7 Iy'nf ordinanc s and slate laws regulating building construction. fPylfif r t)ejiit- Applicant Signature_ li: Print Name r v I;[f __..._ Phone _ 1'i t i! Distribution: White-011ice Yellow -Applicant Pink- UVWW/Stormwaler Vo G12 7V 2- THIS APPLICATION EXPIRES.180 DAYS FROM APPLICATION DATE City Of Fort Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. - Fort Collins, Co 80524 - Phone: 970-416-2740 www.fcgov.com/building BUILDONG PERMOT APPLOCATHON - APPLICATION NUMBER B I V � 09 APPLICATION DATE Job Site Address Jcug�1,5 Unit PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone i , Last name IIKG!1�,' First Name Middle Street Address city State !fl' -Zip^1 CONTRACTOR INFO: Company Name Contractor Phone # 7 jai-, N Lic Holder Name City of Fort Collins License it th, Supervisor Cert # Mailing Address city I," . I State (,j-; LEGAL INFO: Subdivision/PUD uj Filing Lot # ILit, Block # 7 Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement Total Garage Sq Ft # Dwell Residential Sq Ft C,mm'l Sq Ft #of Stories Bldg Height ing Units I/ 1,1 Floor Sq Ft 211d Floor Sq Ft ).9 .9 3Id Floor Sq Ft 3 Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft #of Bedrooms of Full Baths Baths Y. Baths # of Fireplaces Air Conditioning: Y No Energy info: Circle appropriate choice ) 1. ComCh.(C�7 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing[] 6. Prescriptive wl Blower Doo F1 D <.'- K City of Fort Collins Stock Plan # List appropriate option #s_-. ..... .. UTILITIES INFO: /k Water Tap Size Sewer Tap Size "&3twu Metered: Yes ENo 1:1 Temp. Pedestal YesL_1 No L�j Type of Heat: 11 Gas Electric; Electric Main Breaker Size (Residential only) a150 Amp or Less 11 200 Amp []Other Value of Construction (including labor, material & profit) $ Description of Work: i Contact Name & Phone # of JOBSITE SUPERVISOR: ;LutLco"jC;Aptor Info: Electrical Mechanical Plumbing 1,41, Framer. Roofing Concrete Fireplace bi Solaro rtl 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 df Fort dfl qs' ordinangs and state laws regulating building construction. 6Aij-0 r— Je% Print Phone 11 t1_111 Applicant Signature r. 770 Distribution: White -Office Yellow -Applicant Pink - WMIStournwater THIS APPLICATION EXPIRES.180 DAYS FROM APPLICA71 ION DATE