HomeMy WebLinkAbout300 Albion Way - Applications/Basement Finish - 12/18/2006BUILDING 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 r/ l[/ �v APPLICATION DATE
Job Site Address :3 oo ALBToA) (,,)AY Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) p Phone #
Last Name 13�T T AI First Name ART-4e l'e Middle
Street Address 5 o o A L�'� 1 L�1% W A-V City F L') T Co LLI N S State ( a Zip D'S
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Address_
LEGALINFO:
Subdivision/PUD
Contractor Phone #
City of Fort Collins License # Supervisor Cert #.
City.
Filing # Lot #,
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
State
Zip.
Block # Lot Sq
Total Garage Sq Ft _
Residential Sq Ft
Comm'I Sq Ft
# of Stories Bldg Height
# Dwelling Units _
1st Floor Sq Ft
2nd Floor Sq Ft
Unfinished Bsmt Sq inished Bsmt Sq Ft 'BC
# of Bedrooms
# of Full Baths
1/4 Baths Yz 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: 164 4 X ,, 9 a al a 2t—
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete Other
M
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 ordi nces and sta a laws regulating building construction. qq
Applicant Signature / ���— Print Name AR I H ER 8t� � r' Phon�� ZO� — /(�
Z,
Dist i ution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE