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HomeMy WebLinkAbout813 REMINGTON ST - APPLICATIONS - 3/22/2012City of I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fortt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER T 1 APPLICATION DATE 3 Ira I a Job Site Address &S 1EMWG-frbO S79Z—t--f Unit # PROPERTY OWNER INFO: (All owner information is required- it i�s�pnot �optional) Phone # 976 - G9 0--,51 4 Z- Last name V ��I�IJS�t.S First Name v`*Ce-< Middle Street Address -1 �Q C-v.-Sr' C7 City i;&tr (ZC:, V NS State CJ zipe6-5a-4 CONTRACTOR INFO: Company Name !J :y' MI c Mf2- Cr£ Contractor Phone # ©170 `o - 02.57 Lic Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address IZ0( C 1� v. L aEe <nr City �o2T �aS State � Zip ��`3"A4 LEGAL INFO: Subdivision/PUD CONSTRUCTION INFO: Total Building Sq Ft (not including Filing # Lot # Block # Lot Sq Ft ement) Total Garage Sq Ft 3�30 Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 151 Floor Sq Ft Finished Bsmt Sq Ft 21 Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths /z Baths # of Fireplaces Air Conditioning: Yes ® 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: fl,l Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No 4' Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other r-, . _ _ Value of Construction (including labor, material & profit) $ . :!5' Description of Work: 17ETAL4�£l� :5 1�eD �� r X _ Sac) AFT'. Contact Name & Phone # of JOBSITE SUPERVISOR: jMAP-K J C A 0QS6tO 9 70 - G90 -314 Z Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical Concrete Other Plumbing Fireplace Other Applicant: I hereby acknowledge that I have read M application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinan and state laws regulating building construction. Applicant Signature y Print Name IOWM� ���.tlSn.J Phone770 -00-9/4Z Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS .APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE