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Home My WebLink About2115 W Plum St - Applications/Addition or Alteration - 12/19/2017City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 / www.fegovcom/building BUILDING PERMIT APPLICATION APPLICATION NUMBER V �+ v� APPLICATION DATE Ia Job Site Address 2-115 W Plw. -64 Cq,.,, e-v X052-1 Unit # 141 PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone # Last name 6APA^4 First Name LO V-I.a i G Middle Street Address Z115 U City -g'j State 60 Zip g�yf CONTRACTOR INFO: Company Name KfKs" 9e51vf"v,.. Contractor Phone # 17-19, 2-16, 360 } Lic Holder Name City of Fort Collins License # Supervisor Cart # Mailing Address 1313 btu4 Dr Sk City �rf Cot(".) State CO Zip 10�Zq Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including Total Garage Sq Ft Residential Sq Ft TL4 Comm'I Sq Ft # of Stones_ Bldg Height 2f) # Dwelling Units 15' Floor Sq Ft Sid °( 2nd Floor Sq Ft 31d Floor Sq Ft Finished Bsmt Sq Ft # of Bedrooms Z # of Full Baths 1 % Baths l % Baths ,-- # of Fireplaces 7 Air Conditioning Ye &o 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 # List appropriate option UTILITIES INFO: Water Tap Size Sewer Tap Size Metered Yes ©Nol] Temp Pedestal Yes❑ No ❑ Type of Heat [A Gas F]Electnc Electric Main Breaker Size (Residential only)"[�j150 Amp or Less1:1 200 Amp DOther Value of Construction (including labor, material & profit) $ 56, GOtS Description of Work Contact Name & Phone # of JOBSITE SUPERVISOR: T7-r✓oe- -r;e" -L /?o. Zi6 , ?0/0 } Subcontractor Info: A Electrical Qd7 r e&l 1-1 ) Mechanical r / Qrss_ Plumbing N .ti Framer Solar Roofing Concrete Other ? 5A. A,, - 1qll; rs1 Other 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 of Fort Collins o anc�es and state laws regulating building construction r Applicant Signature / // r+- Print Name (( r Tlfyv^c lin Phone 9� Z�fD 360} Unfiished Bsmt Sq Ft Distribution White - Office Yellow -Applicant Pink - W W W/Stonnwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE