HomeMy WebLinkAbout7406 Streamside Dr - Applications/Addition or Alteration - 11/10/2016City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort+t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER .11-J 1 / Uy - APPLICATION
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #/ %/l hJ7 % - Z Y
Last name �OaNU)S/)/'V First Name �% Y/f7��� Middle
jCl / State Zlip
Contractor Phone # �% 7 h�
ns License # _ � /S Supervisor Cert �` J
State zip S
LEGAL INFO: t,
Subdivision/PUD fr� �-�'r k'Nk l_ Filing # Lot #-3-7- Block #
Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) /� Total Garage Sq Ft
Residential Sq Ft Cori Sq
1s' Floor Sq Ft
2n1 Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3' Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/< Baths /z Baths # of Fireplaces
Air Conditioning: Ye' Goo Energy info: ( Circle appropriate choice) 1. ComCheck'r 2. ResCheck w/Air Sealing a
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 Nor Temp. Pedestal Yes❑ No
Type of Heat: Q.Gas 11Electric Electric Main Breaker} Size (Residential Q150 Amp or Less 11200 Amp Qbther
Value of Construction (including labor, material & profit)
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical �/ Mechanical Plumbing
FramerpGW� oofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby acknowledg at I ve &enand state that the above information is correct and agree to comply with all requirements
contained herein and City of F olliorms regulating building cons ruction. &1-192
/ 7Applicant Signature Print Name � Phone �t� ` -/vim
White -Office Yellow- Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE