HomeMy WebLinkAbout3442 Greystone Ct - Applications/Basement Finish - 05/02/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 4
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www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION 734f
APPLICATION NUMBER bormaoAPPLICATION DATE 5 e
Job Site Address _ 5q 9 PL ISr2.nS v,P. Gj , Unit #
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PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone
Last Name FcxnrC-(Z First Name �O'1 Middle
Street Address 3t-1 L1 a &yC4A S4rn?, C + C1ity � • �I I i ng State 60 Zip &5� 5
CONTRACTOR INFO: Company Name Rcle-klmrAti n C0,41 Contractor Phone # �� � - (� 30
Lic. Holder Name c� Tl �lrYf� City of Fort Collins License # C-1-131- Supervisor Cert #
Mailing Address 5- GCS' City LC7'e1e',J State cQ Zip 505-36S
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height # Dwelling Units*
1st Floor Sq Ft 2nd Floor Sq Ft ,rll Unfinished Bsmt Sq Ft -7 -1 Finished Bsmt Sq Ft
# of Bedrooms # of Full Bathsy % Baths 1 /2 Baths 0 # 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 #
UTILITIES INFO:
List appropriate option
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)
Contact Name & Phone # of JOBSITE SUPERVISOR: S✓Roil,, Ar,jol — 50-6026,
Subcontractor Info:
Electrical r"5�qurt4 L�IeJY1 C.. Mechanical A dP;�Scv 9b' Plumbing a�0 f ItAell�
Framer PI rYIG r1 Ig CenS Roofing ! V/ 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 at[ requirements
contained herein and City of Fort Collins ordinances and state laws regulating building construction.
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Applicant Signature, /lr, ��� Print Name /mil 7 N,t Phones- / p
Distribution: White - Office Yellow - Applicant Pink - W W WIStormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE