HomeMy WebLinkAbout1606 N College Ave - Applications/Shed - 08/25/2017City of . COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Frt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416-2740
www.fcgov comlbuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER �+� 1 I APPLICATION DATE
Job Site Address 1606 A. J Ugu 6i, Al f, Unit # -rgpiS i- EN6I-0SURE
PROPERTY OWNER INFO: (All owner Information is required - it is not optional) Phone
Last name Aoocx First Name Z IM Middle
Street Address 35'On TIM(3FRwr4E RD City FORT state1-o--zip OS S
CONTRACTOR INFO- Company Name 5 W I FT 04L1)FRS I L �L Contractor Phone # q70- 6 8t � y Z 3 o
Lic Holder Name i ? fA E 14. to OVEA City of Fort Collins License #��� Supervisor Cart #�$q7� g
Mailing Address PO 601 ZIL430 City. FT Cot.wO5 State " zip T05-2-1
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
1
Residential Sq Ft Comm'I Sq Ft # of Stones Bldg Height_ # Dwelling Units
1 n 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 '/2 Baths # of Fireplaces
Air Conditioning- YeGoK Energy into: ( Circle appropnate choice ) 1. ComCheck ®- 2. ResCheck w/Air Sealing 11
3 ResCheck wBlower Door ❑ 4 Simulated Performance Alternative[] 5 Prescriptive w/ARr Sealing11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered, Yes ❑Noo Temp. Pedestal Yes❑ No
Type of Heat. ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) 150 Amp or Less ❑ SCR\
200 Amp ❑Oth r
` If, LTA. /F
Value of Construction (including labor, material 8 profit) $ G� \►' �+r► f(�. 'T\�'.�.'!\'`\ YRI�/
Description of
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Subcontractor
�, Info:
Electncal l4 o VI.T P(L�` Mechanical P, I Q & Otto Q 1- Plumbing ME/ —
Framer
Solar
Roofing
Other
Concrete Oft W 1 L Ly'J Fireplace
Other
Ta7
Applicant I hereby acknowledge that I have read this application and state that the above information is correct and agree to oompty with all requirements
contained herein and CRty ofy Collins ordRnan es and state laws regulating building construction. ^^__
Applicant Signature W Print Name D9&6l= KJ Phone _370- 02 -460
Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE