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HomeMy WebLinkAbout617 W MAGNOLIA ST - APPLICATIONS - 3/19/2018City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / � www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER T(J APPLICATION DATE Job Site Address � 17 W vullr.4 Unit #. PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # / / 5W S eSzyq Last name 1 y Im {tee r First Name VR/M-00 Middle Street Address 6 17 L'V *u`�JAP1(9 'r V City et Cc" diI t s StateCo ZipKqs�;l CONTRACTOR INFO: Company Name Lic Holder Name Mailing Address_ LEGAL INFO: Subdivision/PUD Contractor Phone # City of Fort Collins License # City State. Filing # Lot # Block #. CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height 1 s' Floor Sq Ft ).©y 20d Floor Sq Ft 31 Floor Sq Ft Finished Bsmt Sq Ft # of Bedrooms CY # of Full Baths I % Baths Supervisor Cert #. Zip Lot Sq Ft Total Garage Sq Ft # Dwelling Units_ Unfiished Bsmt Sq Ft _ /z Baths # of Fireplaces Air Conditioning: ( 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 Uti �` Metered: Yes or No Temp. Pedestal Yes or No Type of Heat: ❑ Gas ))Electric Electric Main Breaker Size (Residential only) �6150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) Description of Work: i 'v� a j,yiK y -spe't Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical Concrete Other Ir i,� Fit Plumbing Lyy-QYSnn 7 Tg A 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 r �= f — Print Name74KWt1-1l J4tWi AtK Phone 7-73 `]kS Zvi t[ p Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE