HomeMy WebLinkAbout908 Remington St - Applications/Addition or Alteration - 03/29/2017City of I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort+t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ � www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE 0
Job Site Address `�(%$ geMi\& 'fON 7D(p iJ Unit #
` V Ll
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PROPERTY OWJ OWNER INFO, (All owner information is required - it is not optional) Phone # Z' 7
Last name /J IIt.(' �.CCL�� �, First Name �� C(n�ra/ I Middle �7
Street Address Z2q 1�erLVX4IV13 City fv-i l'i,��c�J S State (!d Zip
CONTRACTOR INFO Company Name (W"4,MLL4 Contractor Phone # Orly— �U' `%9yp
Lic Holder Name is (1� Gal s, fJ � City of Fort Collins License # D fib' Supervisor Cert #
Mailing Address 3b3 c7 5 Co � �� 1-JO City 6 �IJ�Si State CC Zip
LEGALINFO
Subdivision/PUD %�7C 3I jL k3'1 Filing # Lot # %O Block #_j_3L Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft q62,1 Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft M 2n° Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 1/4 Baths '/2 Baths # of Fireplaces
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 #s
Water Tap Size 3)4 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
Contact Name & Phone # of JOBSITE SUPERVISOR lrcdA, 310
Subcontractor Info
Electrical or.�\2"fin9 Mechanical
Framer Roofing Concrete
Solar Other Other
Ul
Plumbing TP) 9
Fireplace
Other
Applicant I hereby acknowled a at I have read IN application and state that the above information is correct and agree to comply with all requirements
contained herein and City of F ollins o i anc s nd state laws regulating building constructions
Applicant Signature Print Name C'rCcC\1 Phone
Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE