HomeMy WebLinkAbout2006 Sheffield Ct - Applications/Addition or Alteration - 07/20/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
/Fort of
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER e) I��� U� APPLICATION DATE l r
Job Site Address 2 0D (o s/7tic! �/1 t% C-�, Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 69-,-Dj a/3 - 3dZSb
Last name RGt✓it'L/ First Name /7rille` /C/� Middle
Street Address 2-1910& ���7P`ff��,/n� City State CD ZipSE)
CONTRACTOR INFO: Company
� Name � Pl ate KC S�Gra�vr\ Contractor Phone # Cq�0 [od'S�?&V /
Lic Holder Name .�(%5� QW1,rx/of-I _/ J- City of Fort Collins License # C/- a-7.3 Supervisor Cert #39%3 - i
Mailing Address 736Y 07l "'
e4ght-) d KLf SQL City �/ 0uSO✓ State 60 Zip
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LEGAL INFO: �/
Subdivision/PUD Y Filing # 102Z Lot Block # Lot Sq Ft17� nq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 21 Z Total Garage Sq Ft S� a
Residential Sq Ft Comm] Sq Ft # of Stories Z Bldg Height # Dwelling Units
1'Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths /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-)imulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
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) $/'30166740. _/
Descri ti n of Work: 2 To TD / - PT7 r
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Contact Name & Phone # of JOBSITE SUPERVISOR: 2`6 t�9 7� �� J �� I %L7' r�
Subcontractor Info:
Electrical / Mechanical Plumbing
Framer Sty/ �J' -e 16 Roofing A;�r^Concrete Fireplace
Solar Other Other 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 i7//iy� Phone 970 -7b&41
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater /
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE �,