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HomeMy WebLinkAbout2651 Autumn Harvest Way - Applications/Basement Finish - 08/06/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins APPLICATION NU Job Site Address 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICA APPLICATION J■ice Unit # PROPERTY OWNER INFO: (All owner information is required - ittiis{ not optional) Phone # T Last name I -A4 First Name I /isita_.S 1-$ Amw L Middle Street Address Z � �> 1 ky �'i CS t!*gcity F i- %©11 i� 5 State Cb Zip g0 � Zg CONTRACTOR INFO: Company Name � ieeyl A�l:e4 I I rn.CS Contractor Phone # / Z O - 60 Lic Holder Name 7Vro411 6A �/ City of Fort Collins License # Supervisor Cert # Mailing Address Po, &x Z I/y Z � g City qt- (0(ketS State Cam/ Zip c> 5Z 51 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 # of Stories Bldg Height # Dwelling Units 1$1 Floor Sq Ft 2nd Floor Sq Ft 3" Floor Sq Ft Finished Bsmt Sq Ft � # of Bedrooms # of Full Baths % Baths /z Baths # of Fireplaces Unfiished Bsmt Sq Ft 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 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) $ -Soo Description of Contact Name & Phone # of JOBSITE SUPERVISOR: IN Subcontractor `( Info:! �( rI A (� l Electrical lhC{ I Wks 42C�r t e- Mechanical /V0��1wn �D��� A,/— Plumbing /(Owlt � T W h►JI Framer Solar Roofing Other Concrete Other Fireplace Other Applicant: I hereb acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herei n ity of Fort Collins ordinances and state laws regulating building construction. Q Applicant Sign a Print Name jo,,�Phone O Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE