HomeMy WebLinkAbout1504 S Overland Trl - Applications/Basement Finish - 03/16/2007/ BUILDING PERMITS & INSPECTIONS DIVISION
j/ 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 /a APPLICATION DATE
Job Site Address /IS--0L( 6/ 41Aa rt( Z�kz Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # /
64
Last Name_/`/Di7^ �Ol �/t // nFirst Name 00 Middle G/ , e ry
Street Address /�D / Q fie✓ / 6-,o City / _ ir�t S State `o Zip
CONTRACTOR INFO: Company Name �,®_� T Contractor Phone #
Lic. Holder Name.
Mailing Address_
LEGAL INFO:
Subdivisio UD_
CONSTRUCTION
Residential Sq Ft
City of Fort Collins License #.
City_
Filing # Lot #.
Total Building Sq Ft (not including basement)
'I Sq
1 st Floor Sq Ft .2nd Floor -
# of Bedrooms # of. Full Baths
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Energy info: (Circle
4. E-Star w/Blower Door
Supervisor Cart #
State
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft-- )1tinished Bsmt Sq Ft
3/ Baths '/2 Baths # of Fireplaces
ria oice) 1. ComCheck 2. ResCheck w/Air Sealing
5.
List appropriate option
Sealing 6. Prescriptive w/Blower Door
Water Tap Size Sewer Tap Size Metered: Yes or No TNK. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Les§ ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
/
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
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/ Phorie gVS
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Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE