HomeMy WebLinkAbout7202 Trout Ct - Applications/Basement Finish - 10/09/2006BUILDING PERMITS & INSPECTIONS DIVISION
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I P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER Y/ O L l APPLICATION DATE l O
Job Site Address 72b2 T/Zou-l— CT• 4'4S-4 Unit # /� /- _
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # ; � -/ — o(o,
Last Name L eV e.R-e,-tf-e- First Name M IK 2 Middle F
Street Address 72-0 Z `lR OLIT CT City fvR- cion in r State Ora Zip 15vs2'6
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 Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft
# of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft �/ p70
# of Bedrooms # of Full Baths
% 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. E-Star w/Blower Door
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
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) $
Description of Work: BeuSemmT-9-0—i4k
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical
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 herein and City of Fort Collins ordinances and state laws regulating building construction.
Applicant SignatureYL� (f Print Name Myekeie- -Phone 2L9—D%7V
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE