HomeMy WebLinkAbout625 REMINGTON ST - APPLICATIONS - 7/19/2011F6rt
Cityoff COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE —7 /
Job Site Address &1 7r ��=— ,"C-T-0� Unit #
Last name - 1
Street Address_
CONTRACTORI
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
VFO: (All owner information is required — it is not optional) Phone # -7
YIF�u' First NameMiddle
Gt.) City A7:�—Cs State Akip_2aK_p,311
Company Name Jl-n a-'S Contractor Phone #
�01)city of Fort Collins License # Supervisor Cert #
N CTGV r< City_ State CCU
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 Ft
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2^d Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
V Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/4 Baths % 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) $ 3d<=3(n OC�
of Work: S-r-4 L L25
��53
Contact Name & Phone # of JOBSITE SUPERVISOR: .AA---) �w — 53 C p
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge that I kave read this applica nand state that the above information is c d agree to comply all requirements
contained herein and City o dinances and state aws regulating building construction.
Applicant Signature Print Name 1� Phone 3
Distn ice Yellow - Applicant Pink - WWW/Stormwater