HomeMy WebLinkAbout4926 CORSICA DR - APPLICATIONS - 7/20/2015COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER N605y3S APPLICATION DATE 7 -do -15
Job Site Address q q 24 (oIzS iC A '� Unit #
PROPERTY OWNER INFO:_ (All owner information is required - it is not optional) Phone #
Last
First Name
Middle
Street Address l City / State Zip
CONTRACTOR INFO: Company Name Lv)(uity �-0MC5' O' . Cc7 Contractor Phone# 9/2-50j3
Lic Holder Name FIA-rF jTE1L City of Fort Collins License # - S?G Supervisor Cert#
Mailing Address a,- lzoX City F�. Mb US State KO Zip 'fOS ZT
LEGAL INFO: I
Subdivision/PUD C / o 70'VLj0Oh 7/ A 6G Filing # Lot # Block # - Lot Sq Ft 0
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ftz
Residential Sq Ft �' ZnCo m'I Sq Ft of Stories_ Bldg Height ZZ # Dwelling Units
151 Floor Sq Ft Z6,14 ZZZ'7_2 d Floor Sq Ft 3'd Floor Sq Ft N 11- Unfiished Bsmt Sq Ft �►� G
Finished Bsmt Sq Ft j �2 # of Bedrooms S # of Full Baths Z '/4 Baths D '/z Baths 0 0 # of Fireplaces
Air Conditioning: /treNo Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
r
VResCheck w/Blow�err Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
V.,,
City of Fort Collins Stock Plan # 2 U 16 List appropriate option #s_ 5 ;
UTILITIES INFO:
3// It Cl
Water Tap Size 3 1'1 Sewer Tap Size 9 Metered: � or No Temp. Pedestal Y s or No
Type of Heat: x Gas ❑ Electric Electric Main Breaker Size (Residential only) 7�450 Amp or
Less p❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ q /
Description of Work: sl.otLG F4014y TCAAe- L✓/ 3 CA tk A-77-/1
Contact Name & Phone # of JOBSITE SUPERVISOR: M ATr 77F,1�C;l� [ YL_ y ► Z -60 j 5
Subcontractor Info_
Alt
Electrical laE CALZI Mechanica �-;O re Plumbing Mb_(p i"ILf 4A a11t/}L
Framert,rr '% Lldt r Roofing �COtc' Concrete COW-j�Wy (/ OjF,1eA Fireplace W67,STC)rjVI
Solar Other Other Other
Applicant: I hereby acknowledge that I have rea th' application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Foo(rttCC Ilins o PJ c and state laws regulating building construction.
Applicant Signature Print Name PA-71- ►SC'F)G��'� Phone —s033
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE