HomeMy WebLinkAbout7415 Triangle Dr - Applications/Basement Finish - 11/06/2006BUILDING PERMITS &INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, CO 80522r0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
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APPLICATION NUMBER d APPLICATION DATE f j� k —co
Job Site Address 14 15 'T k met . fir - FT- C IL\.. S ('-6 CVS Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name M or-q c�,✓\ First Name L,'0.So ✓1
Middle
Street Address_ 4LI 5 1 rtex" ctt 4�y�r. City FT. CcA (� r�S- State�_Zip el S%
CONTRACTOR INFO: Company Name X� Contractor Phone #
Lic. Holder IN
Mailing Addn
LEGAL INFO:
Subdivision/F
City of Fort Collins License # Supervisor Cert #
State
Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) -2- L Total Garage Sq Ft Lf 113
Residential Sq Ft Comm'I Sq
151 Floor Sq Ft
# of Bedrooms "1
Air Conditioning: Yes No
3.'ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft
# of Full Baths .Z
# of Stories 2-- Bldg Height # Dwellin U 't
g ms
Unfinished Bsmt Sq Ft 2 2 Finished Bsmt Sq Ft
% Baths % Baths _ I # of Fireplaces CAS
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 1111 ���^
Water Tap Size Sewer Tap Size
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door `
List appropriate option #s
V
Metered: e� or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ly'TElectric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Description
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subsewtsassor4tfo: W-,-A e-M L arw%, "s a l-P
Electrical Yhy Soi-C Mechanical
Framer -C- Roofing
Plumbing
Other
Applicant: I hereby acknowledge that I h8A
e 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 finances and state laws regulating building construction.
Applicant Signature _ elil Print Nam Q �e.sc3� Y. °rrlcti. PhoneMb �Ra�►roS�'
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Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
Concrete
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE