HomeMy WebLinkAbout1320 ALFORD ST - APPLICATIONS - 3/7/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building C
BUILDING PERMIT APPLICATION 12-16(•
APPLICATION NUMBER 1� 1tz) 0 I q 1 � 1 APPLICATION DATE
Job Site Address l3 7-'a 5 / FO-/'t ccI/Ib^ 5 Unit #
PROPERTY OWNER INFO: (All owner information is required - it its not optional) Phone # 6 C/o-- Z 7
Last name 04V 5 First Name Middle
Street Address 13 'u.- Al /`�� e 5 A, City err Cc- 1 1 r '+ 1 State CO Zip r
CONTRACTOR INFO: Company Name Ari Jc4rn R� hv� 0l: el u111 Rt�Con actor Phone # 07G�19%
Lic Holder Name &I ..i /Ci City of Fort Collins License # Supervisor Cert #
Mailing Address 11- k1 r C /. City art eelh's, � State G o- Zip tr.� 3-1-/
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
15' Floor Sq Ft
Total Garage Sq Ft
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
Z �-
2ntl Floor Sq Ft 3'' Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 010-CY # of Bedrooms # of Full Baths I % Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) 1. ComCheck 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 #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
p �f� rest L►,tv,r 1.'t�t i bed reo,-.� ! bdrthr'��► Z L,i�Hn Description of Work: �� t1 b
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Contact Name & Phone # of JOBSITE SUPERVISOR: %���// 9. l %3 %7G " 4,el% ` %�olg�-
Subcontractor Info:
Electrical C Qrehf elec �r,-tP Mechanical
Framer
Solar
Roofing
Other
Concrete
Other
Plumbing EVor-ltf
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 ordinances and state laws regulating building construction.
Applicant Signature Print Name
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE