HomeMy WebLinkAbout6721 Antigua Dr - Applications/Basement Finish - 05/02/2007City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER N/ 70 Xl { APPLICATION DATE 6 V
Job Site Address (01W An}; ct„a UrtvA-e Unit # 66
PROPERTY OWNER INFO: (All owner information is required - it is notoptional)Phone # \ gd$1 5-1J - a335
Last Name �I b �TC, f . First Name ZaGhaflt 1 6 +,Cin n i Pi Middle %� C3, o
Street Address 1 O jU N0.� i kAQ Ptti� City klc�i A State nZ zip I (7O0
CONTRACTOR INF jO: Company Name t'UeQ rngrl i 6&r75-k Contractor Phone # d7� - 1 far,)
Lic. Holder Name'-t7�cI 1'pO/ /"Ima:y7t, City of Fort Collins License # C I - 131 Supervisor Cert #
Mailing Address 5 I � 1 W l�lo� 5i . City L av-e�nC State Cd zip 90 3
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
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 Ft50 Finished Bsmt Sq Ft �
# of Bedrooms �_ # of Full Baths 3/4 Baths 1 1/2Baths V # of Fireplaces d
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 #
UTILITIES INFO:
List appropriate option #s
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
6 t'�
Value of Construction (including labor, material & profit) $ fat 6125
Description of Work: Fl n t sk bda o,� 4 IncicAde berooyvt , IC., 1 S,.Ojg4
Contact Name & Phone # of JOBSITE SUPERVISOR: ✓�gwyt nol sh7 J oo;?lo
Subcontractor Info: //►`` I
Electrical �f�C�(j�/L� ��el iv���, Mechanical All Se�-I /h A Plumbing CC�IG
c-� II A �—
Framer?0ek1rngt1ri CctISi, Roofing N�lt 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 Collins ordinances and state laws regulating building construction.
Applicant Signature 4;in/5✓' Print Name P 1%6cm, Phone ;0OGG - 1936
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE