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HomeMy WebLinkAbout426 E OAK ST - APPLICATIONS - 11/18/2013%-I//LY VI I,um1VIUMI I T uCVCLurmtN I & NEIGMBORN00D SERVICES F6I ` Collins IS 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER S/ 1 � D�OU I V/ APPLICATION DATE November Sth 2013 Job Site Address426 E Oak St Unit # PROPERTY OWNER INFO: (All owner information is required— it is not optional) Phone # Last name ACOtt First Name Katherine & Phillip Middle Street Address 426 E Oak Street City Fort Collins State CO Zip 80524 CONTRACTOR INFO: Company Name Empire Carpentry llC Contractor Phone # (970) 493-3499 Lic Holder Name Kevin Murray Mailing Address PO BOX 245 City of Fort Collins License # C1-2 Supervisor Cert # 485 C-1 City Bellvue LEGAL INFO: Subdivision/PUD Fort Collins Filing #. State Colorado 4ip-12 - Lot # 15& 16 Block # 151 Lot Sq Ft 17,500 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 1 1s' Floor Sq Ft 2n° Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces Air Conditioning: YeGon Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11 3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door City. of Fort Collins Stock Plan # UTILITIES INFO: List appropriate option Water Tap Size Sewer Tap Size Metered: Yes ❑Nol--] Temp. Pedestal Yes❑ No El Type of Heat: Gas ❑Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less 11 200 Amp DOther Value of Construction (including labor, material & profit) S 9000.00 Description of Work: Rehabilitate existing front porch y replacing toundation with concrete piers and rehabbing floor system and columns. Contact Name & Phone # of JOBSITE SUPERVISOR: Kevin Murray (970) 566-5743 Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical Concrete Other Plumbing Fireplace Other Applicant: I hereby acknowledge that I have read this application and s at the above information is correct and agree to comply with all requirements contained herein and 'ty of o ollins ordinances and state law gulating building construction. Applicant Signature Print Name Kevin M Murray Phone (970) 493-3499 Distribution: White — Office Yellow — Applicant Pink — WWW/Stonnwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE