HomeMy WebLinkAbout1251 Banyan Dr - Applications/Basement Finish - 06/04/2007BUILDING 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 80 70 3S—/- APPLICATION DATE e%7 P
Job Site Address i Z
PROPERTY OWNER INFO: (All owner information
Last N
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- it is not optional)
First Name
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nit #
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Phone # "j SS - 'f C>
Middle
Street Address 7E> 4„8nn City q7744 ,CjD ` 1 ✓\. State-L-Zip C
CONTRACTOR INFO: Company NameY�a�Y1y1/\Gihrct�{6 Phone # ��' d�
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Lic. Holder Nam"C1r- City of Fort Collins License
f # 2- CO—upervisor Cert #
Mailing Address-l�- 1.St'._�_ SIC _`�- City ��� `` I VISState CZip _
LEGAL INFO:
Subdivision/PUD PCI,'
Filing #m of #�L-)-
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
1 st Floor Sq Ft
2nd Floor Sq Ft Unfinished Bsmt Sq Ft
Finished Bsmt Sq Ft 1 �
# of Bedrooms
# of Full Baths '/4 Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes
No Energy info: (Circle appropriate choice) 1. ComCheck
2. ResCheck w/Air Sealing
N'
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)
.$
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Description ofWork
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Subcontractor Info: "
Electrical �taY►��t— Mechanical Plumbintq� `y.X Y � , t �Kyv� I q4
Framer
Roofing
Concrete
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 \ Print Named( lc-t^ Phone 7 0 D
Distrib ion White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE