HomeMy WebLinkAbout1301 Blue Spruce Dr - Applications/New Commercial - 05/29/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N College Ave • Fort Collins, CO 80522-0580 • Phone 970-221-6760
www fcgov corn/budding
BUILDING PERMIT APPLICATION
APPLICATION NURaRl APPLICATION DATE
Job Site Address l36 ( Bt V-- k28eJAL Unit #
PROPERTY OWNER INFO n(All owner information is rree wr�ed - rt is not optional) Phone #
Last name v� irsF t Name��JG Middle
Street Address (3t'9l P34,Li�_ City State 6_0 Zip
CONTRACTOR INFO Company Name CQ/N3E:;,TZ�11&1J Contractor Phone #620�
Lic Holder Name j� (��1 r-2(SAkA City of Fort Collins License # Supervisor Cert #
Mailing Address,02 qoZ IMf 10POI l2T% , City )5&1247- m ate CQ Zip
LEGAL INFO
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Budding Sq Ft (not including basement) %% I Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft �i# f Stories Bldg Height # Dwelling Units
1 S' Floor Sq Ft
Finished Bsmt Sq Ft
2"d Floor Sq Ft
3rd Floor Sq Ft
# of Bedrooms _ # of Full Baths % Baths
Unfiished Bsmt Sq Ft _
'/2 Baths # of Fireplaces
AirConditioning 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
City of Fort Collins Stock Plan #
List appropriate option #s.
UTILITIES INFO EJ 01.
11
Water Tap Size �-l` 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
PR
Contact Name & Phone # of JOBSITE SUPERVISOR -Mgt ) A p=A-m 4 016) -5-6b -c;2 /1 -2—
Subcontractor Info
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant I hereby acknowledge that I have read is application and state that the above information is correct and agree to comply with all requirements
contained herein and Ci of Fort Collins dina ces nd state laws regulating budding construction
Applicant Signatur�f Print Name `�?t'�rhone
Distribution White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE