HomeMy WebLinkAbout514 E Elizabeth St - Applications/Addition or Alteration - 03/11/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION
APPLJCATION NUMBER b b 6"" [ V APPLJCATION DATE
.lob Site Address514 E Elizabeth st
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #970-988-1520
Last name Karuzas . First Namejim Middle
Street Address 514 E Elizabeth cityFort Collins StateCO ZIp80524
CONTRACTOR INFO: Company Name Site Solutions Contractor Phone #970-218-3390
Lic Holder Name span Stephenson City of Fort Collins License # 666 Supervisor Cert #
Mailing Address 519 N Overland Trail city FC state CO Zip80521
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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'1 Sq Ft # of Stories Bldg Height # Dwelling Units
15i Floor Sq Ft
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/ Baths Y2 Baths # of Fireplaces
Air Conditioning: Ye�]Non Energy info: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternatives 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 []NoF] Temp. Pedestal Yes❑ No ❑
Type of Heat: II Gas ❑ Electric Electric Main Breaker Size (Residential only) 0150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 2500
Description of Work:
Install 2 egress windows per IRC code and engineers letter
Contact Name & Phone # of JOBSITE SUPERVISOR: Brian 970-218-3390
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Otter Other Other
Applicant: I hereby acknowledj-pallins
have ad this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of F or nances and state laws regulating building construction.
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Brian Stephenson 970-218-3390
Applicant Signature �I.,--'=p --_ �'' Print Name Phone
Distribution: White — Office Yellow — Applicant Pink — W W W/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE