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HomeMy WebLinkAbout2013 Overlook Dr - Applications/Addition or Alteration - 12/21/2017City 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 BUILDING PERMIT APPLICATION 1_l K) (6133 12/21 /2017 APPLICATION NUMBER APPLICATION DATE Job Site Address 2013 Overlook Dr Unit # PROPERTY OWNER INFO, (All owner information is required - it is not optional) Phone # Last name Forsythe First Name John Middle Street Address 2013 Overlook Dr City Fort Collins State CO Zip 80526 CONTRACTOR INFO Company Name Complete Basement Systems Contractor Phone # 303-805-8751 Lic Holder Name Rodney Martin Mailing Address 11795 E 45th Ave LEGAL INFO: Subdivision/PUD City of Fort Collins License # 106057 Supervisor Cert #. City Denver State CO Zip 80239 Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq 1s' Floor Sq Ft 2nd Floor Sq Ft # of Stories Bldg Height # Dwelling Units 3`d Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths Y2 Baths # of Fireplaces Air Conditioning YerNo Energy info ( Circle appropriate choice ) 1 ComCheck ❑ 2 ResCheck w/Air Sealing 11 3 ResCheck w/Blower Door 1H 4 Simulated Performance Alternative El 5 Prescriptive w/Air Sealing11 6 Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option UTILITIES INFO: Water Tap Size Sewer Tap Size Metered Yes 7NoE1 Temp Pedestal Yes© No Type of Heat Gas Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less 200 Amp 0Other Value of Construction (including labor, material & profit) $ 1,408.00 Description of Work Foundation Stabl ization Contact Name & Phone # of JOBSITE SUPERVISOR: Armando Galindo 720-988-3697 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 of Fort Collins ordinances and state laws regulating building construction �^�� Kayla Montez 303-805-8751 Applicant Signature � ` Print Name Y Phone Distribution White -Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE