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HomeMy WebLinkAbout5132 Cinquefoil Ln - Applications/Basement Finish - 10/09/2007BUILDING PERMITS INSPECTIONS DIVISION 3�5( (MA-11w4�10M P.O. Box 580 •Fort Collins, COC50522-0580 • Phone: 221-6760 www.fcgov.com/building /� City of FortCollins BUILDING PERMIT APPLICATION V APPLICATION NUMBER' pL1�QY/ APPLICATION DATE �© I"t /0 Job Site Address S 0A L : k ,A / Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone Last Name 61 e /Bc First Name ji I f Middle Street Address_ C: kI L ee 4 L C. h City F Ce /y/, State C 67 Zip S d �� 8 CONTRACTOR INFO: / Company Name / rc �� I S< t� t �, ,C� r Contfactor Phone # �� �/ 3 — &"6.2 Lic. Holder Name_!fA v c a P� City of Fort Collins License # Supervisor Cert # Mailing Address 303ol City f-1 ram' lle)� - State Z !� Zip 9 4 S-Z LEGAL INFO: Subdivision/P Filing # Lot # CONSTRUCTION INFO• Total Building Sq Ft (not including basement) Residential Sq Ft 1st Floor Sq Ft # of Bedrooms Air Conditioning: Yes 3. ResCheck w/Blower Door Block # Lot Sq Total Garage Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Full Baths % Baths % 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: List appropriate option #s # of Fireplaces 2. ResCheck w/Air Sealing 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) $ . fo—ev- l l DU" Description of Work: F h, 0 v sg. Contact Name & Phone # of JOBSITE SUPERVISOR: J 7 e_ �� f �e } r i, �) Subcontractor Info: Electrical o t.✓ti, c y- Mechanical p wh e I-- Plumbing /" Framer rr_ to t-5 C-VL Roofing � hnf Concrete / V// 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 ordinances and state laws regulating building construction. ep Applicant Signature — Print Name ri Phone QL4 7. 2 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE