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HomeMy WebLinkAbout626 QUAKING ASPEN DR - APPLICATIONS - 10/5/2010City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER V APPLICATION DATE /, /" Job Site Address ©,r, J . &e�� _ Unit # chap �yr �� �rtu PROPERTY OWNER INFO: (All owner information is required — iti--s//_not optional) Phone #Lq �) 2&7- " 7.-Z X0 0 �� 2 Last name (QtC- hQ11,'fAFirst Name � A4C1kiuA ii 10 �14Q PI Middle Street Address ) 30 W , sw�J�nw City state CO Zip 9tSZ 6 CONTRACTOR INFO: Company Name o ✓'4h42= Contractor Phone # �220 toy ^ 0 /00 Lic Holder Name �/Y�� �'t t7 City of Fort Collins License #( Supervisor Cert # Mailing Address P. Orok 7 2.��1n 2 City FTe State LO zip LEGAL INFO: Subdivision/PUD Prtwmc—e— 4oujA) Filing # .3 Lot # CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 40 Block # Lot Sq Ft Total Garage Sq Ft r Residential Sq Ft Comm'I Sq Ft v # of Stories Bldg Height # Dwelling Units 15' Floor Sq Ft 2ntl Floor Sq Ft 31d Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces Air Conditioning: YerNo® Energy info:( Circle appropriate choice) 1. ComCheck Z 2. ResCheck w/Air Sealing ❑ 3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 6. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option UTILITIES INFO: g Water Tap Size u� Sewer Tap Size Metered: Yes []No Temp. Pedestal Yes❑ No El Type of Heat: R1 Gas Electric Electric Main Breaker Size (Residential only) 150 Amp or Less ❑ 200 Amp DOther Value of Construction (including labor, material & profit) $:�2O, 0(9C7 to TM =�motm-�:*�� Contact Name & Phone # of JOBSITE SUPERVISOR: 3��F (UC (r` S-'6 6 r7 t ?6 Subcontractor Info: {� /+ f - Electrical (j/`2�AOr'1-/ Mechanical t �.o', TC/ � Plumbing Li✓1 Framer aA&&Al -0n-S)1�Roofing r ze p CV s Concrete P I SOS Fireplace Solar er Other Other Applicant: I her by acknowledge t h e read this app ation an state that the above information is correct and agree to comply with all requirements contained herei and City of Fo o in rdinances and st a laws gulating building �clonstruction. Applicant Si re Print Name ►LIC!*CM— ?,AG(eWAID Phone aZDq-0/ 06 W %-007 N Distribution: White — Office Yellow —Applicant Pink — VWVW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE