HomeMy WebLinkAbout2039 Falcon Ridge Dr - Applications/Deck - 12/27/2019City of
F, 6rt Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
FOR OFFICE USE
4PPLICATION NUMBER: ��� (�S'11 APPLICATION DATE:
Job Site Address 2 031 F_&L /eon 2, dq-e do'-
PROPERTY OWNER INFO: (All owner information i required — NOT optional)
Last Name 13reLety First Name
Street Address 2012 ico-tran12c/ t City
Phone# q7&-& jZ _ j9.f z Email /P
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name Coa. n 0/'.i 6t7 s .lrra 11i•6"
License Holder Name JOLOWU s GL,IS Aes LIC # 0 CERT #.3 SSG M*y
LEGAL INFO:
Subdivision/PUD
Unit#
j?Z a"r- k Middle
F�. (fo t (,',a s State Zip BS28
Filing # Lot #
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement)
Residential Sq Ft41--Commercial Sq Ft # of Stories
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft
Finished Basement Sq Ft
Baths %2 Baths _
ENERGY INFORMATION: (CHECK ONE)
ComCheck ❑ UA (ResCheck) ❑
Air Conditioning? YES ❑
# of Bedrooms
# Fireplaces
SPA (Simulated Performance ❑
Alternative)
NO ❑
Block # Lot Sq Ft
Total Garage Sq. Ft.
Bldg Ht # of Dwelling Units
Unfinished Basement Sq Ft
# of Full Baths
Prescriptive❑ ERI(Energy Rating Index) ❑
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes ❑ No ❑
Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ❑ Other ❑
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
For Commercial remodels and tenant finishes, please answer the following questions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing Tenant❑ New Tenant❑
If for a new tenant, is this the first tenant to occupy this space?
Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space?
Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No ❑
If yes, please describe:
Value of Construction (materials and labor):
Description of Work:
JOBSITE SUPERVISOR CONTACT INFO: Name ��2.s Gl/�t s AzeS Phone
SUBCONTRACTOR INFO: Electrical
Plumbing
Fireplace
Framing
Solar
Mechanical
Roofing
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit, shall indicate their awareness about their property having been inspected forAsbestos Containing Materials (ACM's).
I do not know if an asbestos inspection has been conducted on this property.
❑ An asbestos inspection has been conducted on this property on or about (enter date)
❑ An asbestos inspection has not been conducted on this property.
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 c tained herein a City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Type or Print Name J„s rj(J�gt/s
Phone# 9�__SIoG-3g 333 Email Jowl6✓ 5AW.5�Ge+*1
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