HomeMy WebLinkAbout2274 YEARLING DR - APPLICATIONS - 1/26/2017City of
F�,�ort Collins
Job Site Address
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
'ROPERTY OWNER INFO: (All owner Information Is reqlred - it y not optional) Phone #
.astnamel-XAX., /F112 Hv f-A-X 4FIA Rm St'NfflhB— - -Alvv- • Middle
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'ONTRACTOR NF : Company Name (I 7fe(M � X Contractor Phone # /D ; 327r25�
is Holder Name City of Fort Collins License # Supervisor Cert #
Railing Address ,�.aC/ w 4 City • a/4'1f .c/ State !N Zip Z
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subdivision/PUD " " Filing # Lot # Block # Lot Sq Ft_
:ONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Z tesidential Sq Ft Comm'I Sq Ft O # of Stories Bldg Height 3Z )o #Dwelling Units
51 Floor Sq Ft
finished Bsmt Sq Ft
2nd Floor Sq Ft
3`d Floor Sq Ft
# of Bedrooms # of Full Baths
sir Conditioning: Ye j2NoH Energy info: ( Circle appropriate choice )
. ResCheck w/Blower 'Door. Simulated
:ity of Fort Collins Stock Plan #
ITILITIES INFO:
It
Vater Tap Size _ Sewer Tap Size _
ype of Heat: ruj�( Gas Electric Electric
'alue of Construction (including labor, material & I
)escription of
:ontact Name & Phone # of JOBSITE SUPERVI
subcontractor Info:
Jectrical
ramer
Roofing
Mechanical
Unfiished Bsmt Sq Ft
'/. Baths 2 '/2 Baths # of Fireplaces
1. ComCheck b� 2. ResCheck w/Air Sealing r(
:scriptive w/Air Sealing[] 6. Prescriptive w/ Blower Door
List appropriate option
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s
Concrete
Fireplace
solar Other Other Other
pplicant: I hereby acknowle Latl read this applicati nd state that the above information is correct and agree to comply with all requirements
Dntained herein and City ofnances and st I w regulating building co lion. [4?��WJOVPhone
,pplicant Signature Print Name % 7
Distribution: White - Office Yellow -Applicant Pink - WWW/Slormwater