HomeMy WebLinkAbout800 Grandlake Ct - Applications/Basement Finish - 10/25/2006BUILDING PERMITS & INSPECTIONS DIVISION
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 A4 6a, D IfL APPLICATION DATE
Job Site Address S0-0 694/VP 4,41,/-C- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # �Cj
Last Name 0 -I T— First Name f('��Y� t L- Middle
Street Address 9O 6�'�A1\10 6-6&4 City %i Co(-C-/A/r State
CONTRACTOR INFO: Company Name C-71NS r R-t~c 77 Contractor Phone # D •- Y Z 0 - 6,? %%
Lic. Holder Name DGkA z:, City of Fort Collins License # Supervisor Cent #
Mailing Address City l � VSZ...Q A/h State (2.0 zip
LEGAL FO:
Subdivisio PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTMN INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height # Dwelling Units�._a
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq FtFit inished Bsmt Sq
# of Bedrooms # of Full Baths '/< Baths '/z Baths # of Fireplaces
Air Conditioning: Yes No nergy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-St 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 \Breake
etered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Mainze(Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
�alue of Construction (including labor, material & profit) $
Description of
Inn
Contact Name & Phone # of JOBSITE SUPERVISOR: Z2 O% C7 67-I 9 UX C/ 7O— G & 1 %%
Subcontractor Info:
Electrical' DGGf6 `-1 I /G c X- Mechanical U -Ott 121:, b Y Plumbing D GL<6 6, /[1
Framer 004(� C7[icoux Roofing Dotok CiConcrete DolA,6; 61,1c,6),-Other biuk 6iyo-6�
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. r� \
Applicant Signature%l1 'rat Print Name l�i�►`-liLt"� 0� Phok2 I0
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Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE