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HomeMy WebLinkAbout818 Bramblebush St - Applications/Addition or Alteration - 06/06/2017COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER 151-7 Q 9 49 ;� APPLICATION DATE l0 � 6 ' I WT fi 6ll- ` Job Site Address g 1 g fQn1 uS S • , Fart t � s 0G� Unit# �/ G PROPERTY OWNER [�� • (All owner Information Is required — It Is not optional) Phone # Last name A (L �fscir._1 I I FirstNamel_. 10u_1�,.. / Middle Street Address L 9rnm iekiu sh- SL City 5 l c •v L1 YlS State Cy Zip�Us CONTRACTOR INFO Company Name atti nee, Contractor Phone Lic Holder Name Mailing City of Fort Collins License #, City. Subdivision/PUD Filing #, Supervisor Cart #. State Zip Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft Residential Sq Ft 6Z -�, Comm'I Sq Ft # of Stones Bldg Height # Dwelling Units 1" Floor Sq Ft Finished Bsmt Sq Ft 2ndFloor Sq Ft 31° Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces Air Conditioning- Yes No Energy Info ( Circle appropnate 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 # 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 ❑ 200 Amp []Other Value of Construction (including labor, material & profit) $ ©� • / k 1 tr Description of Work Crior r+ rQ W Gr tvn vi r ak e_ t ev%el 1-vYYmp �_-i AN a eL—l7 r 4i0 Contact Name & Phone # of JOBSITE SUPERVISOR: CAo -Les d er-tIh q70 ''f jZ - Z-jq 7 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 City/ojf FW Colli s ordinances and state laws regulating building //construction Applicant Signature ��- Print Name�{�1_UrIt S %int�er$Or► Phone qZ6 Distribution White -Office Yellow —Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE