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HomeMy WebLinkAbout2409 Maple Hill Dr - Applications/Basement Finish - 02/22/2016City ®f COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES F6rt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 wrww.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER BMl!L O O `63 t APPLICATION DATE 0 I- 1 Job Site Address G'AOc1 yAAPLC-- Ftil - K. Unit # PROPERTY OWNER INFO: (All owner information is required — it isnot optional) Phone # l Last name AfA\& First Name JD+'i Ciheeou- Middle Street Address Z 4ol M OLf H I-L — De ' City F �i (41-IN5 State 60 Zip D©SZ CONTRACTOR INFO: Company Name Lic Holder Name Mailing Add LEGAL INFO: Subdivision/PUD Contractor Phone # City of Fort Collins License # City State_ I Filing # Lot # Block # CONSTRUCTION INFO: Total Building Sq Ft (not including Residential Sq Ft Comm'] Sq Ft 1s' Floor Sq Ft 2"d Floor Sq Ft 15H Finished Bsmt Sq Ft # of Bedrooms Supervisor Cert # Zip_ 2-0 Lot Sq Ft_ Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units 3m Floor Sq Ft Unflished Bsmt Sq Ft `✓` %9 # of Full Baths '/ Baths '/2 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 # UTILITIES INFO: List appropriate option 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 ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ Description of Work: e"OV T'N13/1 Imo% IyGZtlOL- Z 13CD5 Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical "5V-V1,i`Nr Mechanical Framer Solar Roofing Other 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 Fort gollins ordinan .and state laws regulating building construction. cn �J� Applicant Signature2.� Print Name ,/e/�i% t- C ✓�` V' Phone Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE