HomeMy WebLinkAbout2752 Alexander Ct - Applications/Reroof - 02/26/2016�j`; Of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6et Collins 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER �G/ `� D �J O APPLICATION DATE 9 ;16-1 fi
Job Site .Address V-- L%� al Unit #
\ a
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # � �o 1 ,�� �1 _
Last name Sll:'d✓l First Name Middle
Street Address � r City f i State Zip U ��
CONTRACTOR INFO: Company Name 2614 Contractor Phone #
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
City of Fort Collins License # Supervisor Cert #
City
State Zip
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 Ft # of Stories_ Bldg Height # Dwelling Units
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/ 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 #s
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 �.,V_1 200 Amp ❑ Other
Value of Construction (including labor, material�& profit)
Description of -Work: tir�/ tic- t i"caw
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
!yo
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledg that 1 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
/or9nances and state laws regulating building construction.
Applicant Signature v ° Print Name Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE