HomeMy WebLinkAbout3618 Caribou Dr - Applications/Basement Finish - 11/29/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
66 www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMB( / �, V I APPLICATION DATE
Job Site Address 3 wil r," 6w pi^. Unit # �—
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 37 7-3 33-4,
Last Name Lic 'sle/r First Name M t, Middle
Street Address_1 7( I i 61-1" bll 0✓ City ft_ 6 ///h P State GO Zip <?t7Sa-s�
CONTRACTOR INFO: Company Name ) C(l
Contractor Phone #
Lic. Holder Name
City of Fort Collins License # Supervisor Cart #
Mailing Address
City State Zip
LEG INFO:
Subdivisi n/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRU ION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Comm'I Sq Ft
# of Stories Bldg Height # Dwelling Units
1 sc Floor Sq Ft 2nd Floor Sq Ft
Unfinished Bsmt Sq FtFinished Bsmt Sq Ft 85 3
# 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
C
v
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:
I�
Water Tap Size Sewe\Tapize
Metered: Yes or No Temp. Pedestal: Yes or NoType
of Heat: ❑ Gas ❑ Electrictric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
)/alue of Construction (including labor, material & profit) $�,y
7\Description of Work: - vis
h "d t I 1 O U"V" Ix" D OVK i
it'llfrvuA �4_ YAP d A-PRvVI r. T 'aoR
ca- it 1Y /i4,,. Ian m i i
Contact Name & Phone # of JOBSITE SUPERVISOR: _ 011A_M,19� 1 , ,J'-e2
Subcontractor Info:
Electrical S Mechanical Aj0 . 60 ,-7�Y Plumbing /iLa �!-'//V4�
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 Collirpyjdinances6F�Nstate laws regulating building construction.
Applicant Signature ri e LV[gQU e, &�d e* j Phone 3 7? —a 33a
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE