HomeMy WebLinkAbout902 W DRAKE RD - APPLICATIONS - 4/25/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rtCollins 281 N College Ave • Fort Collins, CO 80522-0580 • Phone 970-221-6760
www fcgov corn/budding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER
l) J� APPLICATION DATE
Job Site Address
90 2- IN- /�)►-, � _ AV Unit # %
PROPERTY OWNER INFO
(All owner information is required - it 1s not optional) Phone # '�7'0 - 5-C Z S S3
Qk L� Middle_(
Last name
f First Name — _
Street Address (��%�
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W� Gi�L� RG7^ City �� Co��tvt� State�Zip 8
CONTRACTOR INFO Company Name Contractor Phone #
Lic Holder Name
City of Fort Collins License # Supervisor Cert #
Mailing Address
City State Zip
LEGAL INFO
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Budding Sq Ft (not including basement) 2296 Total Garage Sq Ft
Residential Sq Ft
Comm I Sq Ft 1170 # of Stones I Bldg Height # Dwelling Units
151 Floor Sq Ft
2nd Floor Sq Ft 3rd Floor Sq Ft Unfilshed Bsmt Sq Ft
Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths Y2 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
Water Tap Size Sewer Tap Size
List appropriate option
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) $ /,/_ 0C 0 r
Description of Work
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical
Framer
Solar
Mechanical
Roofing
Other
Concrete
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 ordinances and state laws regulating building construction ;� �7
Applicant Signature Print Name L cr\L /D,-4 kc Phone / 70-5C6 20500
Distribution White —Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE