HomeMy WebLinkAbout817 JUTLAND LN - APPLICATIONS - 2/28/2017J
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building 3 3i(, f
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BUILDING PERMIT APPLICATION ''(( `�
APPLICATION NUMBER \� 1 7 v O 3 I APPLICATION DATE }
Job Site Address �li7 7,AAc �ek U-% Q,-t-Coll.,, Sl Co 3(�924 Unit #,
PROPERTY OWNER INFO: (All owner information is required- It is not optional) Phone # 3<7q-Sad-t�1�RS
Last name 1Ea.� First Name -3 e.._'_Utk Middle 9-nc`.-,
Street Address ail - I 5 , plc rcl I City T'r E cjl .5 State 63 Zip 9C) �,2.4
CONTRACTOR INFO: Company Name
Contractor Phone
Lic Holder Name N\A City of Fort Collins License # NA- Supervisor Cart # lJ A
Mailing Address N& City is State tyPc Zip 1,11A
LEGAL INFO:
Subdivision/PUD .ITWR__ 06TY, Filing # Lot # Block # Lot Sq Ft
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CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2 y0r3 x*- kd o r)t Total Garage Sq Ft ?'
Residential Sq Ft 'ZKh, Comm'I Sq Ft Nib # of Stories -Z Bldg Height # Dwelling Units KIPA
15' Floor Sq Ft 0,& a%tA 2nd Floor Sq Ft V2b 2%* 3`d Floor Sq Ft NK Unfiished Bsmt Sq Ft N is
Finished Bsmt Sq Ft st.F4- # of Bedrooms Nk # of Full Baths NI l '/. Baths Nh '/z Baths 1Lk_ # of Fireplaces N-A
Air Conditioning: e No Energy info: ( Circle appropriate choice) 1. Conrl 2. ResCheck w/Air Sealing
1�1A
3. ResCheck w/Blower Do r 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # tm (k
UTILITIES INFO:
Water Tap Size t��t. Sewer Tap Size 2v a
List appropriate option
Metered: Yes or ID Temp. Pedestal Yes or
Type of Heat: ❑ Gas �O Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less 14200 Amp ❑ Other
Value of Construction (including labor, material R profit) $ 50 / 000
Description of Work: 2- %,-A%.. Zw%a-
Contact Name 8 Phone # of JOBSITE SUPERVISOR: 'yc.Ct & &, 309-3q-1-1485
Subcontractor Info:
Electrical NN Mechanical
Plumbing
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Framer �V\dt Roofing Mph Concrete Crr[�'..rr% C.v.c.fjr Fireplace
Solar IyAr Other ILK Other �q(?r Other NIN
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 F Collins ordinances and state laws regulating building construction. pp �
Applicant Signature Print Name -3 wx� 1)-": Phone �Ool^,�_ -1
Distribution: White — Office Yellow— Applicant Pink— WWW/Slormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE