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HomeMy WebLinkAbout636 Sydney Dr - Applications/Basement Finish - 01/22/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins APPLICATION 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building LDING PERMIT APPLICATION APPLICATION Job Site Address 69 doj�j 9�IVI�-- , Fr. GDuANS� I 805Z5- Unit # PROPERTY OW�NEfR INFO: (All owner information is required - it is not optional) Phone # Last name eN`^-1 First Name � L 26Atj Middle VLJJAO Street Address � � wwi1 q—QOyg City .rT. U L L 1i\S State LO Zip 9052J CONTRACTOR INFO: Company Name (?VVN-A� Contractor Phone # Lic Holder Name Mailing Address_ LEGAL INFO: Subdivision/PUD CONSTRUCTION INFO: Total Building Sq Ft (not including Residential Sq Ft Comm'I Sq 151 Floor Sq Ft 2ntl Floor Sq Ft _ Finished Bsmt Sq Ft �_# of Bedrooms City of Fort Collins License #. Filing # Lot # Supervisor Cent #. State Zi Block # Lot Sq Ft Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units 3r1 Floor Sq Ft # of Full Baths '/< Baths Unfiished Bsmt Sq Ft /z Baths # of Fireplaces Air Conditioning: Yes No 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 # UTILITIES INFO: List appropriate option Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) 2❑ 150 Alm(p` or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) • - �� � 1►f]I:��I;L�lLfLT7i�i©C77i���m�••na�e a Contact Name & Phone # of JOBSITE SUPERVISOR: 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 or inanc and state laws regulating building construction. Applicant Signatur Print Name NAPK&&, E V Phone 'Ib-113- t Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE