HomeMy WebLinkAbout1508 Sea Wolf Ct - Applications/Basement Finish - 10/17/2007`i BUILDING 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 IV 10 r 1 09 APPLICATION DATE / — ("?- ID /
Job Site Address /529S S� Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name 1,2ilww- First Name Middle
Street Address 15-c'S S'y✓1 /f,4nz-: City 7—a;r l State e�o Zip 8--15W6
CONTRACTOR INFO: Company Name
Contractor Phone
Lic. Holder Name City of Fort Collins License # Supervisor Cert #.
Mailing Add
C
State
LEGALINFO:
Subdivision/PUD //�7/S%�j/�G Filing # Lot # 173 Block # Lot Sq Ft 4�SO I
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
tat Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft Ste_
# of Bedrooms # of Full Baths % Baths '!z 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
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,ize (Residential
only): ❑ 150 Amp or Less ❑ 20G Amp ❑ Other
Value of Construction (including labor, material & profit) $ Df "y 0
Description of Work: 3,�i`1Aq iby0-/ftr' &r, ?Z ow
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Mechanical U Opzbinn 7
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
ort Collins ordi c and state laws regulating building construction.
Applicant Signature �� Print Name t�� /64� t�flf Phone
i
/ Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
Roofing
Concrete
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE