HomeMy WebLinkAbout3013 Stockbury Dr - Applications/Basement Finish - 06/20/2007City 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 6'; f APPLICATION DATE
Job Site Address Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not'optional) Phone #
Last Name S #&,eV j5" First Name DAIV Middle
Street Address -2 'i 2 7 �i City f , U I t'l-P `15 State tf e Zip 80�
CONTRACTOR INFO: Company Name fL/2. %��S % �' z &T R r a D fkcCor Phone #
Lic. Holder Name K v rj: 6rY11= E,;T
AEP, City of Fort Collins License # D_ Supervisor Cert #
Mailing Address / o G L A ty-.K- S% City 8 . Go L I-t N State G O Zip 649 sZ �
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft_
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft % 7P
# of Bedrooms # of. Full Baths % Baths % Baths # 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 \, a
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) $
Description of Work: L-L;r://1/ t:5 Fi1� �1�y 3 aWi
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
ElectricalLTRIle— Mechanical MO/Z(7!:$�:�j 60,4 ZA Plumbing kAh(AA YL✓/VtJ73Grt�
Framer �UcRoofins /U Concrete i(%, 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 ordinan es and state laws regulating building construction.
Applicant Signature Print Name tt/QT �_jijNG .a;,5/ ?-',e Phone ,M —17 Z/
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE