HomeMy WebLinkAbout620 LOCUST ST - APPLICATIONS - 1/1/2018Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBERS II rc�"�i� 11 Li II A 4 APPLICATION DATE
620 Locust Street
joD srce Aaaress
unit m
970-215-6118
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Reffler Cynthia
Last name First Name Middle
124 Fishback Avenue Fort Collins CO 80521
Street Address City State Zip
C.IR Hnnrips 970-490-2962
CONTRACTOR INFO: Company Name
Lic Holder Name Bruce Brown
Mailing Address 506 South College Avenue,, Ste C
LEGAL INFO:
Contractor Phone #
City of Fort Collins License # D554 Supervisor Cert #
Fort Collins CO 80524
_ City State Zip
Subdivision/PUD FTC Filing # Lot # 14 Block # 178 Lot Sq Ft 9500
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 340 Total Garage Sq Ft 340
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
111 Floor Sq Ft
2n° Floor Sq Ft
31" Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: YeGo0 Energy info:( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door 11
4. Simulated Performance Altemative❑ 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 Sewer Tap Size Metered: Yes E1No1__1 Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) 0150 Amp or Less ❑ 200 Amp DOther
15000
Value of Construction (including labor, material & profit) $
°ueUngnw s'
Contact Name & Phone # of JOBSITE SUPERVISOR: Cynthia Reffler q10 • o I g • U I I li)
Subcontractor Info:
Electrical I C )K Mechanical
Framer WK- Roofing t r✓ k Concrete
Solar
Other
Other
Plumbing
Fireplace
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 oordinances and state laws regulating building construction.
Applicant SignaturePrint Name Cynthia Reffler Phone 970-215-6118
Distribution: White —Office Yellow —Applicant Pink —WWW/Stonnwater