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HomeMy WebLinkAbout626 QUAKING ASPEN DR - APPLICATIONS - 8/24/2010City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 wvvw.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER,, V 61t� �(�/ APPLICATION DATE ✓ V Job Site Address RoyiNcETVWNE' FILIN4 3 0 "TMC.7" O + ? Unit # MMc.H rfy $trj_0INCv PROPERTY OWNER INFO: (Ali owner information is required -it is not optional) Phone # (9 70) Z 8 Z — 75 ZZ Last name C.AQF AD1,51"d , //UG First Name C/,IAPRIC/C AUKTINCZ Middle Street Address 1303 W- 5W4L4xyV City FbR7 t; o"aAIS State Co Zip $052C CONTRACTOR INFO: Company Name DIeAjgoTA Contractor Phone # 0970) Zo o - 0100 Lic Holder Name T"jaRt2r DRA)4oT ► City of Fort Collins License # t>4) d Supervisor Cert # Mailing Address 'P.O. goic City F RT (2"-JA0 State CO Zip 150SZ'7 LEGAL INFO: Subdivision/PUD 'PR0sU ACZ7-4 t4E Filing # 3 Lot # Block # Lot Sq Ft U CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Zo 68a Total Garage Sq Ft -.481v Residential Sq Ft 0 1s' Floor Sq Ft Z, 685 Comm'I Sq Ft Z j 6815 # of Stories I Bldg Height Z i ' - 54 # Dwelling Units O 2nd Floor Sq Ft 31d Floor Sq Ft ❑. Unfiished Bsmt Sq Ft O Finished Bsmt Sq Ft 0 # of Bedrooms 0 # of Full Baths 2- % Baths 0 '/2 Baths 0 # of Fireplaces 0 Air Conditioning: YeSENo0 Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11 3. ResCheck w/Blower Door E 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: Water Tap Size Z " Sewer Tap Size 8h Metered: Yes ZNoll Temp. Pedestal Yes k❑ No Type of Heat: 1-1 Gas Electric Electric Main Breaker Sppize (Residential only) FK1150 Amp or Less 200 Amp DOther df'Value of Construction (including labor, material & profit) $ '�fl0 0- 0 a Description of Work: (!'_-oAi6rR Acrx I of 0 ) / - SToRyI comma Via USE 8y4LZ)/,y4 Contact Name & Phone # of JOBSITE SUPERVISOR: t30F3 J�Lc�cK cS6G — ©:7O Subcontractor Info: Electrical GlegGoRY Mechanical A)R (1*trod' Plumbing / -INJ> Framer CL4=ft , AN-3JT'8 Roofing r/GO Concrete Pi rt`JCVCA1 Fireplace C. Solar Other Other Other Applicant: I hereby acknowledge that I have d this a plication and state th t the above information is correct and agree to comply with all requirements contained herein and of Fort I' s and late laws regulati building construction. Applicant Signature Print NameK«V�L A-dd�JN0 Phone '-0 b U ben alo/%a Distribution: White - Office Yellow- Applicant Pink - WWW/Stormwat THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE -To �oe - anna14 d Pr11 /", ;lie - F3"ek—Ig04,,