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HomeMy WebLinkAbout2195 Majestic Dr - Applications/Other - 07/31/2017City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 / www.fcgov.com/building (� 1 �] BUILDING PERMIT APPLICATION APPLICATION NUMBER tJ l !b� S� APPLICATION DATE D� / Job Site PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone Last name / /!©��First Name Unit # �74 Middle Street Address �l 14r eltr/;�G 6e City /., � Al J State Z 2p VS CONTRACTOR INFO: Company Name :�/C �/ �� %`��ontractor Phone # 3n✓�� a�'s7 Lic Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address City State Zip LEGAL INFO: �� _ Subdivision/PUD/'/��%�L r��S Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'l Sq Ft # of Stories Bldg Height # Dwelling Units 1°' Floor Sq Ft Finished Bsmt Sq Ft 2dd Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths Y Baths # of Fireplaces Air Conditioning: YerNo0 Energy info: ( Circle appropriate choice ) 1. ComCheck11 2. ResCheck w/Air Sealing 11 3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ S. 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 Type of Heat: Gas Electric Electric Main Breaker Value of Construction (including labor, mat al & profit) $ 7p Description of Work: ��y�/J�/i7 l'.1J4 Metered: Yes❑NoF-1 Temp. Pedestal Yes❑ No El ize (Residential only) 1:1150 Amp or Less ❑ 200 Amp ❑Other Contact Name & Phone # of JOBSITE SUPERVISOR: �3 f3 J T-fir S c to // Electrical —A-�i, i �x/ekechanical Plumbing/4w el- Framer Roofing Concrete Fireplace Solar Other Other Other Applicant: I hereby acknowledge that I hayys�. this application and state that the above informs ' n is correct nd agree to comply with all requirements contained herein and City of Fort Col' �dinances and t s r IatiA ilding constru Applicant Signature Print Name 6 %�� Phone Distribution: e — Office Y ow — Applicant Pink — NMNv/StorrLr THIS APP ICATIO REPS DAYS FROM APPLICATION DATE