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HomeMy WebLinkAbout5152 Exploration Ln - Applications/Basement Finish - 12/28/2017City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES �t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 wvvw.fcgov.com/building —�_/��1Q G� BUILDING PERMIT APPLICATION (� APPLICATION NUMBER I✓ ( TlJ(l S 1 APPLICATION DATE (Z r Z -> r 1-7�- LJOb-Site-Address 515Z EYAa ra ovL Lane, .dot C'ol(thS Unit # PROPERTY OWNER INFO' (All owner information is required - it is not optional) Phone # �! 7'O'— V 5s -���/ �7�^�� �O 3 2 ---- Last name � � First Name RIAZ Middle Street Address 515Z &cPf orat%yir 1A►1 I'.- City Fk 1 (�6 0 ik S State (243 Zip Ocb 5zep CONTRACTOR -INFO Company Name �� 1 Contractor Phone # Lic Holder Name City of Fort Collins License # Supervisor Cart # Mailing LEGAL INFO. Subdivision/PUD City State Zi Filing # Lot # Block # Lot Sq Ft CONSTRUCTION —10-0--D Total Building Sq Ft (not including basement) 2d[7d Total Garage Sq Ft 633.5 5 Residential Sq Ft Comm'I Sq Ft 91k # of Stones 2- Bldg Height # Dwelling Units 1 s' Floor Sq Ft 2nd Floor Sq Ft 3'd Floor Sq Ft CFinisned_Bsmt Sq Ft .-/"&Mf Bedrooms © # of Full Baths __L % Baths Air Conditioning Yes No 3 ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Unfilshed Bsmt Sq Ft © % Baths C> # of Fireplaces 0 Energy info ( Circle appropriate choice ) 1 ComCheck 2 ResCheck w/Air Sealing 4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door Water Tap Size Sewer Tap Size List appropriate option 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 (includii g 15bor, material-& profit)-$ 7em�� 2R, �Oc2 Descripti fono Work-) iTn(5 atse 01 Contact-Name_&_P_hone # of JOBSITE SUPERVISOO� Subcontractor Info. Electrical Framer Solar Roofing Other Mechanical Concrete Other Plumbing Fireplace Other Applicant I hereby acknowledge that I have read this application d state that the above information is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinances and state la lating building constructtiiooln /� . o Applicant Sign t rua e / /Print Na e f U4 P Phone-`77���^6��� Distribution White —TOffieYellow—Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE