HomeMy WebLinkAbout908 SYCAMORE ST - APPLICATIONS - 2/18/2014City of
�.F.�ort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER KJ I + V 1 APPLICATION DATE
Job Site Address 1-1 OF si Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not oprtional) Phone #
Last name ,' ��S�TLS (� First Name (L Middle �•
Street Address 1 CitState Zip
CONTRACTOR INFO: Company Name
Contractor Phone #
Lic Holder Name City of Fort Collins License # Supervisor Cert #.
Mailing Address City State Zip
LEGAL INFO:
I \\ Subdivision/PUD �\� v— � Filing # Lot # IL- Block # 3 O S� Lot Sq Ft Z�( PZ �
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2 ®(o Total Garage Sq Ft Z V=
i 7
Residential Sq Ft L.nta ( Comm'I Sq Ft P N' # of Stories Z Bldg Height 7-4:r # Dwelling Units
1 s' Floor Sq Ft `( `� 2"d Floor Sq Ft -56 4 3'd Floor Sq Ft f") Unfiished Bsmt Sq Ft b�
Finished Bsmt Sq Ft ojA # of Bedrooms �_ # of Full Baths Z 3/. Baths J_ Yz Baths is # of Fireplaces
Air Conditioning: Ye No Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
<�IsCheck 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
UTILITIES INFO:
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) 54150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ k'O 03 OC> ((�'� ((�� t
Description of Work: eGs%(a\e�e lkr-4'�Q& e� WVQA r� iujy S.�Z'!r c,&& �11.5-+cl
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:tt } r,
Electrical 0 %3 e!1kooV V-ke AT-%c Mechanical ``n� es` 1� aJl ��e l��cann\ Plumbing Z)� �1`�,`^e \ �'� I kr � + t `'-�
Framer S �a Roofing bav eZ tl�ooLlig Concrete C.sN 1. V�B �t Fireplace W �kt1J_
Solar N'� Other i Other Other
Applicant: I hereby ackno I ge hat I e e his application and state that the above information is correct and agree to comply with all requirements
contained herein and Ci o Fo of ins o i a c s and tate laws regulating building construction. /
Applicant Signature Print Name Ck.T�teS Ak&-J-AS Phone '�N0 2 �' gab?
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE