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HomeMy WebLinkAbout913 ELM CT - APPLICATIONS - 5/22/2018City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collm 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER 1 ISO— �� APPLICATION DATE 65 /aalgo t 8 Job Site Address 13 E)iyn 0 0, rrk Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # (Sol 1 S a O - 9 Q � Last name ,/NAt-}; n-eP )-A4.Y1 n L ry-% First Name Y_ �r 2�1 0,v\rjz Vt4 Middle Street Address Q 13 p, m Lout-k City �'= � . C 0I I It-�S State CO zip 2 oS l 1 CONTRACTOR INFO: Company Name Lic Holder Name Contractor Phone City of Fort Collins License # Supervisor Cert #. Mailing Address City State Zi LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) I -I O 0 Total Garage Sq Ft O Residential Sq Ft IT O O Comm'I Sq Ft O # of Stories Bldg Height # Dwelling Units 161 Floor Sq Ft I-7 o O 2nd Floor Sq Ft © 3'd Floor Sq Ft Unfiished Bsmt Sq Ft O Finished Bsmt Sq Ft 0 # of Bedrooms LA # of Full Baths �_ -/< Baths j— '/z Baths Q # of Fireplaces 0 Air Conditioning. Ye 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. Ye 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 8 profit) Description of Work: c ntact a�one ## of SUPERVISOR: Subcontractor Info: Electrical Framer Roofing Solar Other ,5 nn Mechanical Plumbing [&J4t�-w J Concrete Other 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 � 04, n-��s Print Name CA-xi`l'5h Phone 0 5 D' `( Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE