HomeMy WebLinkAbout4566 Seaboard Ln - Applications/Basement Finish - 10/27/2006BUILDING PERMITS RL INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, CO 80522r0580 • Phone: 221-6760
W W W.fcgov.conVbuilding
CitYofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER t% VelL_ APPLICATION DATE L 0 � 1
Job Site Address & � Seca xy'aa v-e ,Z'oy Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # %O. 2 Zy� 3 4, % 2--
Last Name / First Name//'A4 / / Middle
Street Address tT'� %� �t n 9QA•r>r �—+�/ City 46 G4 5 Statez _zip �'S 5
CONTRACTOR INFO: Company NamContractor Phone #U'
Lic. Holder Name" y` City of Fort Collins License # �i2-� Supervisor Cent # /S 7
Mailing Address /310 / �/ i,7"D r' U r City/t/fi O� -O_ State Zi Qi
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq
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
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: es No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 1/4 Baths '/z Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door %%�
List appropriate option
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) $ 47 eF7l
Contact Name & Phone # of JOBSITE SUPERVISOR: Alec_
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Subcontractor Info:
Electrical � e, Mechanical ey-1
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-kS'cq l
5 Plumbing
jZ_ S
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 ordina es and state laws regulating building construction. ,/�,
Applicant Signature Print Name // l` /�►i�77 z/ Phone ��' 00
Distributio White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE