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HomeMy WebLinkAbout6714 ANTIGUA DR - APPLICATIONS - 11/9/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 www.fegov.com/building BjU1LDING PERMIT APPLICATION APPLICATION NUM ER J APPLICATION DATE 1 L I I Y Job Site Add Unit # q 2- PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #_Ro - 8 21- 8 Last name I' it e. i ' G S First Name s 1,-' r a', Middle r Street Address 7? q )4 i Q 1.4 Q City (So i f)_ N."° State_r_�Zip U5 =J CONTRACTOR INFO: Company Name O f.& O !r C e/1 r,.11111 Contractor Phone # �Vno e __. Lic Holder Name Mailing LEGAL INFO: ` City of Fort Collins License # Supervisor Cert # City State Zip. Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft A>!i ' Residential Sq F-ai.�Comm'I Sq Ft # of Stories Z Bldg Height # Dwelling Units r 15' Floor Sq Ft , • . 2nd Floor Sq F - - , _ 3rd Floor Sq Ft Unfiished Bsmt Sq Fier 5�• 5 Finishedy Bsmt �qFt # of Bedrooms # of Full Baths 3/ Baths Y2 Baths # of Fireplacds_ Air Conditioning: Ye4o� Energy info: ( Circie appropriate choice ) 1. ComCheck11 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 # List appropriate option #s UTILITIES INFO: Water Tap Size 31,1 Sewer Tap Size L Metered: Yes ®NoF] Temp. Pedestal Yes❑ No Type of Heat: a Gas © Electric Electric Main Breaker Size (Residential only) l50 Amp or Less e.z.11 R C,200 Amp Other Ex 11.',ns 11 ' Value of Construction (including labor, material & profit) $ I "Y O- '3 5 Description of Work: Contact Name & Phone # of JOBSITE SUPERVISOR: Ic ..yi it Fire- l l o Subcontractor Info: �^ 1 -� p Electrical �I � ,.r Y� (ou n d n Mechanical -R 4-14 �c�l nct + A C Ili'IC Plumbing f� '5" P-k- H P�1hq IJ �^ ty , _J Framer S'e.. I i" Roofing Mop cam:_ Concrete IV "Prl Fireplace lye2r? � Solar Other Other Other Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinances and state laws regulating building construction. r Applicant Signatu -�,-� Print Name /�Gt/:e� r-f; /41 Phone �C;�� 2 Z-�9�7 Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE