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HomeMy WebLinkAbout908 Jerome St - Applications/Garage - 07/20/2018 (2)COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER (31 ""S UI 1 APPLICATION DATE Job Site Address go -lb :��Vne' nnUnit#-a 2— PROPERTY DOWNER INFO: (All owner information is required- it Is not optional) Phone # vl �20 Last name J.ef1ow,-e_ First Name � Middle / Street Address I �i P City }� 2-� l �p i>�l�„� pState W ZiDl?050-1 CONTRACTOR INFO: Company Nam pglcti Oo/n_SATA c�t, Contractor Phone# Lic Holder Name `�a� �}t� �Ql ^ City of Fort Collins �Lilcense # Supervisor Cart #_ u� 6 Mailing Address -\:?31 &u_t, c9 City �I%.S StateU) Zip ^ LEGAL INFO: + Subdivision/PUD ©L]b __T_0 W'n NL Filing # Lot J r3Z Block #__S Lot Sq Ft� CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft I —_ Residential Sq Ft Comm'I Sq 1s' Floor Sq Ft 2nd Floor Sq Ft # of Stories Bldg Height # Dwelling Units 31d Floor Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/ Baths Air Conditioning: Yes No Energy info:( Circle appropriate choice) 1. ComCheck Unfiished Bsmt Sq Ft _ '/: Baths # of Fireplaces 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alternative S. Prescriptive /w�/Air Sealing / - 6. Pre criptive w/ Blower Door City of Fort Collins Stock Plan # "JP Q ZL1% List appropriate option #s���Q 3 -�' %0 / Z 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) Description of Work: L 17�t Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: --� Electrical t ^` r A�%ts Clc Mechanical Plumbing FramerRoofing 1 v��c�� Concrete 1=n t - 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 sue/ Print Name- Vv f% i``� Phoneme Distributio White -Office Yellow -Applicant Pink -WWW/Stonnwater ra+oc etaloi If_®rinM FYPIRF—q 711n DAYS FROM APPLICATION DATE