HomeMy WebLinkAbout744 Oxford Ln - Applications/Basement Finish - 07/09/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER — r� L 4 V " APPLICATION DATE (' 4�
Job Site Address % �1G/ ae� Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 6Z�
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Last Name%v9 ��! �v First NameMiddle
Street Address �%� Xx/c_gZ Z -v City %c State C«Zip
CONTRACTOR INFO: Company Name �Tsbl—/p�,.r, /e/�A / (Contractor Phone #�
Lic. Holder Name Lr Q i c/ ee'e �,q �]� i vet. City of Fort Collins License # Supervisor Cert #
Mailing Address City rC�`� State CO Zip'2';;'
LEGAL INFO: X\
Subdivision/PUD �
Filing # Lot # Block # Lot Sq Ft 14
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
# of Stories
Total Garage Sq Ft
Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 1/4 Baths /2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
6. Prescriptive w/Blower Door
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) $ Z
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical k✓y ke rN �� C
Framer 6 Roofing
Mechanical
Concrete
Plumbing 2 Tr I G
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 CityofFort Collins ordinances and state laws regulating building construction.
Applicant Signature . Print Name I V"CZ�Phone
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE