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HomeMy WebLinkAbout3036 Dunbar Ave - Applications/Basement Finish - 07/27/2016,"art` Collins of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER `�� ✓ J / APPLICATION DATE ` 7,-1 -7 ZI 1, Job Site Address �O 0L3e1bo i 2 Unit # PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # l lOb ` l U q �/ e Last name �L��2 11 First Name Fclyl •i- ¢-C�dIC�1�'1( Middle Street Address �to ��/ n 6a r City CO Pyo State L© ^ zip 7�U5 Z CONTRACTOR INFO: Company Name _� VI fQ /^I c I I IL-44J u �� (� Contractor Phone # 1-70 �6 I 7 97, Lic Holder Name v "`Q City of Fort Collins License # Supervisor Cert # Mailing Address ZV27 , n C r City State zip aO;2�e LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft 15' Floor Sq Ft Comm'I Sq 2nd Floor Sq Ft # of Stories Bldg Height # Dwelling Units 31d Floor Sq Ft Unfiished Bsmt Sq Ft j2® Finished Bsmt Sq Ft M # of Bedrooms `Z # of Full Baths 0— 3/ 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 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) $1 Z, too o d Description of Work: SQ_AA.Q rt 1 l� Sent S Contact Name & Phone # of JOBSITE SUPERVISOR: MF� .r Subcontractor Info: rr 1 /� _ !!^^� ll-- Electrical f 47�5 �,1e(`Tt-sC Mechanical mnr`41-r-n Ul 6Mf 1\ C7 AI rPlumbing �S �,o��S ��1' J10V r Imo• Framer sca AOJ T f NYa�Rming Concrete Fireplace Solar Other Other Other Applicant: I hereby acknowledge t 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 ollins or ' ances and state laws regulating building construction. t Applicant Signatur Print Name_ Ck .0 4cT"P1L Phone 270 567539Z Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE