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HomeMy WebLinkAbout3449 Sam Houston Cir - Applications/Basement Finish - 01/22/2018City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES FOI t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER�� i�S( 7t 71 7lL APPLICATION DATE 1 —Zez -19 Job Site Address 3y�� ` � �t�us C, C Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) )Phone # !% b- Z S - 95-&& d Last name btr t ) First Name ► t 1 C- , A-P� 1 Middle 70k rt Street Address 3949 Sary\ 14a xs,ForN Circle- City FC State Co zip 9052-(0 CONTRACTOR INFO: Company Name M ; cJ,,,-e-j (�4 0 (54a-W) Contractor Phone # C1 70 - 21 S--$S Lic Holder Name City of Fort Collins License # Supervisor Cart # Mailing Address LEGAL INFO: Subdivision/PU City State Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height # Dwelling Units 1s' Floor Sq Ft 2ntl Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft 77 5 # of Bedrooms i # of Full Baths % Baths I /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) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) s 2 ©/ 000 `, Description of Work: �9LSe M tS CUrre-�kl are (an) cre+� rl�ar� 'Iii soleA ).,j 4 jJQ�/IS 4-o %%S =cQ, Re'1 trid. 1_LT,steCtrZ4� PIym1Li••j , 175 5� IPA- (S I 6e3robai t' t6M. �Y rCbM fil t :.�-n/i'n.Jf� rAAM �' 31y bA.Ai, 3N i.,a 4L kI-, 6�.0 A1.nAll 111:ti/ S4vLS Cu r/vAI U_ Contact Name & Phone # of JOBSITE SUPERVISOR: M I GPI' e 1 I t � 0 2/5 - S�P� 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. (,, Applicant Signature Print Name M' c� a 2 l (3a I Phone q7 0- zt s-YS� Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE