HomeMy WebLinkAbout1029 Parkview Dr - Applications/Basement Finish - 01/08/2009/ — BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www fcgov.conVbuilding
cityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER J (/ d7 011!!:� [ L APPLICATION DATE
---Job Site Address 10014 P4rk e,ae l ► r. F" CA" Unit #
(—PROPERTY-OWNER INFO: (All owner information is required —it is not optional) Phone # �!' a)
;i Last NameT„ga/Y"A; First Name "wt Middle
Street Address ti� r Ci Fd'r cc� State Zi l o Z 9 pdrk v � ri A p BaS'•zS
,CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cart #
Mailing Address City State Zip
t trek INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 b Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Fev
Fin�srn q 1 0 47
# of Bedrooms # of Full Baths % Baths 'Fh Baths # of Fireplaces �0
Air Conditioning: Yes No (�
3. ResCheck wBlower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. Ear wBlower Door
5. Prescriptive w/Air Sealing 6. Prescriptive wBlower Door QMM
List appropriate option #s
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) ``$
DeskriptipttofWork; A Frt;,Sh �SGw.kaAa¢'.f-) �?� Zz'&M" 41- I/Ld
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Elect lI ;_ Mechanical
�1
Plumbing
Framer Roofing Concrete 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 heremand City of Fort Collin ordinances and state laws regulating building construction.
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Applicant -Signature. L �` — Print Name 14Crlow'sq 7ed►'w. Phoneq?�
.Distribution: White —Office Yellow=Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE