HomeMy WebLinkAbout6602 Avondale Rd - Applications/Single Family New - 01/29/2016Fort CoRins
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COMMUNNTY DEVELOPMENT & NEIGHBORHOOD SERVICES
07
APPLICATION NUMBER N(l�(7
281 N. (DAlege Ave. o Fort Collins, CO 80522-0580 o Phone. 970-221-6750
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION DATE_
Job Site address_, Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 7 7 - 7 15 �6 V?i
Last name�r4��/find First Name �a�J. _Jf�j��w _Middle
Street Address 41/nnl %5 . %, City / Lo i�S State Zip -
CONTRACTOR INFO: Company Name r72) Contractor Phone
Lic Holder Name ��y_,� Gp City of Fort Collins License Y-D- o_ Supervisor Cert &el
Mailing Address (? L_� /A-41 City r�• (�/�� State LC) Zip_
LEGAL INFO: /% J
Subdivision/PUD Iv C.)O 7ri'pn .r, � Filing #
CONSTRUCTION INFO._.__ Total Building Sq Ft (not including basement) it 64
Residential Sq Ft t l if 0 Comm'I Sq Ft 1/ of Stories �-
111 Floor Sq Ft _ j _ 2"'' Floor Sq Ft _ 31d Floor Sq Ft
Lot # 7 Block // Lot Sq FtC885
Total Garage Sq Ft
Bldg Height_ 27 11 Dwelling Units
_ J Unfiished Bsmt Sq Ft 7W
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 imulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # /J List appropriate option /is
UTILITIES INFO:
Water Tap Size Sewer Tap Size _ Metered Yes or No Temp. Pr destal B
or No
Type of Heat: as ❑ Electric Electric Main Breaker Size/((}Reesidee%ntial only) 50 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ �L `
Description of Work:: , dG �C ����� �/yyD� 2 S/•n^� d!
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info_ // l
Electrical �C�-Gs �r{rl Y� Mechanical�/ Plumbing
Framer ^��� Roofing 4 )q / Concrete Fireplace
Solar
Other }� Other I' 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 Fo Collins ordinances and slate laws regulating building construction.
Applicant Signature Z, 4, Print Name ICA', � - �� Phone hQ - qoZ- /gz
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwaler