HomeMy WebLinkAbout400 Dunne Dr - Applications/Basement Finish - 05/02/2007BDILDINC 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 a (J , APPLICATION DATE '5—
Job Site Address 14DO tom► , j:+ . C6jj.ins. 6.6 F5bS a5 Unit #
PROPERTY OWNER INFO: (All owner information is required - it iis�l not optional) Phone #
Last Name First Name lnMiddle
Street Address City �f t� �li rl State Q2) Zip
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Address
LEGAL INFO:
Subdivision/PUD
Contractor Phone #
City of Fort Collins License #.
City
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft # of Stories
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: es
3. ResCheck w/Blower Door
Supervisor Cert #
State Zip
Block # Lot Sq
Total Garage Sq Ft
Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft_ Finished Bsmt Sq Ft
# of Full Baths 3/< Baths /z Baths
No Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan #
UTILITIES INFO:
Water Tap Size Sewer Tap Size
List appropriate option
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
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) $ j /3 7
Description of Work:
a
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
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 't f Fort Collins ordinances and state laws regulating building construction. 6h .
Applicant Signa re Print NameT2A AV.& Phone j I4 - 00-Oaf�tc'
Distribution: White -Office Yellow - Applicant Pink - W WW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE