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HomeMy WebLinkAbout3206 Fairplay Ct - Applications/Addition or Alteration - 05/16/2016I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES F®1r`} ` Collins 251 N. College Ave. - Fort Collins, CO 50524 - Phone: 970-416-2740 www.fcgov.com/building BUILDING PERMIT APPLICATION) APPLICATION NUMBER 51 G O Lt ,,, k !4- APPLICATION DATE M A1-1 I Lv - '101 L4 . Job Site Add ress&ZoIe Irl-�l'RPLAV CT F&Ar/.'Paiti(Ta oyggfo Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Last name NAY First Name,, j&OAt Middle 0i4AAM Street Address 2ZD& r,_414AoWC l City &2T C®c1t..i C State�Zip Bo92_(0 CONTRACTOR INFO: Company Name Lic Holder Name Mailing Address LEGAL INFO: Subdivision/PUD Contractor Phone # City of Fort Collins License # Supervisor Cert # City State Filing # Lot # Block # Zip. Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft 00 Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units I" Floor Sq Ft &D 2nd Floor Sq Ft P-Qn 3rd Floor Sq Ft 700 Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft .SDO # of Bedrooms E/ # of Full Baths Z % Baths % Baths / # of Fireplaces Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Energy info: ( circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door 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) $_ _3CD Description of Work: KA1a('_kj�7p I. dd /U/¢LL G7,c-D 4JAL - 7VA7- PMi-1,14 ltiW W17V • cG %.uv�.✓r.QcY�� f�j '�i iA+i4ct �-a,� aliiZ'iF�% ✓s� !�-cy fa'TG3a isITC%f _3141( 7p /.lt.jJ0 /4g! ©�`z//�t2/�yG,3j�1 po.0CA1 R✓ A7Z f11 e&W Xe Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical 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 of Fort Coll' ordinances and state laws regulating building construction. Applicant Signature v Print Name J a--s'OZl // Phone Distribution: White - Office Yellow -Applicant Pink -WWW(Stormwater