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HomeMy WebLinkAbout908 Jerome St - Applications/Garage - 07/20/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fegov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER `�� P✓ `� APPLICATION DATE A Job Site Address 9.0-5 :J-4 rune. //Unit t., PROPERTY OWNER INFO: �� (All owner Information is required — it is not optional) Phone # —1 %� ��Z — Rg 97 Last name JRaaw�.2 4v tskwp-, I,_ - LL First Name Middle / l Street Address a I L-� . 02-� City D lv� pState W Zip Q 2I— CONTRACTOR INFO: Company nNamee_ v P� ent Su ��— Contractor Phone # 6� Lic Holder Name �ztre_ Ph�•�� �Ql City of Fort Collins License # 6qp Supervisor Cart # Mailing Address 1 4-i7o City _]G;A eI lt-s State Zip s' �D LEGAL INFO: �b / Subdivision/PUD ©� _ 5WY1 Q�-� Filing # Lot #lT 1 Block #3 Lot Sq Ft'5OnJ ,-i w CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft �314 Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 151 Floor Sq Ft Finished Bsmt Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Unfiished Bsmt Sq Ft _ # of Bedrooms # of Full Baths 3/4 Baths '/: 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 /�r- City of Fort Collins Stock Plan # 5P i) a1$�- List appropriate option #s',l 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) $ L l+g (P / , 4L, Description of Work: �"�'tt ► l 7 N Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: ct Electrical t ^`4 Am)tS 1�14L. Mechanical r Plumbing Framer �u'C Roofing. �tpt"e-.k- Concrete ►'-t " zy-cyt) 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 off Fort Collins ordinances and state laws regulating building construction. / Applicant Signature bJL Print Name 2,w Vu`Q JJ Phoneme Distributio . White —Office Yellow —Applicant Pink —WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE