HomeMy WebLinkAbout3200 Stanford St - Applications/Deck - 08/13/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
_Fort CbRins 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
�..- www.fcgov.com/building
BUILDING PERMIT APPLICATION =
APPLICATION NUMBER �" APPLICATION DATE
(i .x 11 20 3
Job Site Address 3LOO STANFDi7_L re-6. Unit# is - 20'g
PROPERTY OWNER INFO: (All owner Information is required- it is not optional) Phone # l �o� / -`� 3 S 1.:!o
Last name EnC%G V e-Z. First Name M n_C+V\l -, Middle JL-
Street Address 9l gSr L) 3 (o - City SCkA bI et"0 State_C.PiZip
CONTRACTOR INFO: Company NameSt,& C_0 SU LTIAC, COATRRCTIMContractor Phone #003) 9-1?- q i b L
1
Lic Holder Name 30 VA M 1 . MI (1-f f-AM City of Fort Collins License # r fL -7-V Supervisor Cert #��O (� -
Mailing Address4L7-5 GOLOXI- E C WOC City FT CuLLIA State 1`0 Zip kos7 .L
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq
1 s' Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2"d Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths /z Baths # of Fireplaces
Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
Water Tap Size Sewer Tap. Size
List appropriate option
Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric
Electric Main Breaker Size (Residential only) 150 A/m- p or�LLSelss ❑ 200 Amp ❑ Other
/❑
Value of Construction (including labor, material
& profit) $
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Description of Work: ?_b.QLf'1GG
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Contact Name & Phone # of JOBSITE SUOERVISOR:
L PICKET5
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Mtf��A C3o3)
Subcontractor Info:
Electrical
Mechanical
Framer Roofing Concrete.
LG><LMPT S\Q)—� b 1 0yILO�(-1
Solar Other N Q Other
Plumbing
Fireplace
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 Collins ordinan and state laws regulating building construction.
Applicant Signature Print Name �ONN (`r11ehiAtsA Phone�r5ca- 2-
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
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City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES'
F6rt Collins
281 N. College Ave. • Foit Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION = _-
APPLICATION NUMBER Y MISQTj=,L i PPLICATION DATE
l
A 101, 10-1 I t7 4, 112,
Job site •AaareSS 5 c.o o 2 P, Unit FF - I I'
10 1 103 10
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PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # C �) 8g 0 - 6 3 S
Last name E G 0 t;Z First Name O"f Middle
Street Address PO T30X 24i�03(Oq City State (Z_Zip 9 7.1(O
CONTRACTOR INFO: Company NameBC-G - ConSOl'ililtr1A C0n-hr&'a1kA Contractor Phone # (303) Si97- 9740-
Lic Holder Name 30KIJt . M1 kAtiA City of Fort Collins License # Supervisor Cart #
Mailing Address I"AIL-S GOLpC�-{G�iE City CT at) L-GINj State L-b Zip Sii514
LEGAL INFO:
Subdivision/PU
CONSTRUCTION INFO: Total Building Sq Ft (not including
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 s' Floor Sq Ft
Finished Bsmt Sq Ft
2"d Floor Sq Ft
3'd Floor Sq Ft
# of Bedrooms # of Full Baths '/< Baths
Unfiished Bsmt Sq Ft _
/z 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
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
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) $ 995, i) 0
Description of Work: 'fZl,%MOJO A L
(Pt'T105, TCPL-ALis WIT
SbjQwni TflLS. t
T
C" LEVEL
Contact Name & Phone #'of JOBSITE SUPERVISOR: M V A lAIr::LA 303) j�el Sr- -Ia&2_
Subcontractor Info:
Electrical
Mechanical
Framer Roofing Concrete.
Solar C & x E;MP T_ S0 (3J Afher 61A NO _NU1 L-pe(LS Other
Plumbing
Fireplace
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 of F Ins ordinances tate laws regulating building construction.
Applicant Signature Print Name �OH44 M%P-FtNil-A Phone (303) gqt-1 '�6L
Distribution: White - Office Yellow -Applicant Pink -WWW/Stonnwater
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