HomeMy WebLinkAbout6124 Brookwater Ln - Applications/Basement Finish - 10/16/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www. fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ""' `Q `Q61I APPLICATION DATE 10 61D-7
Job Site Address Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name n C /First Name 1wev Middle 76 3
Street Address�i»» d�� ��L�"� City dtt/ A / �7Staatte a ziip 90SIPL8
CONTRACTOR INFO: Company Name
AWontractor Phone
r 1 /
Lic. Holder Name�j�J%/ti'C C.C/�� City of Fort Collins License # Supervisor Cart # ,,�/
Mailing Address Zz'p�� �- 4�'/ City State Zip 116J Z—
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq
Total Garage Sq
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft I /Ord
# of Full Baths % Baths F '/z Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
# 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)
Contact Name & Phone # of JOBSITE SUPERVISOR:
9`7 a
Subcontractor Info: " > t%
Electrical �1�-- 4e�� Mechanical �lJ =/ %3 Ft �v Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that I have read this ap catio and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collins ordinance n state s regulating building construction. /1� 1
Applicant Sig Print Name \ kt.tAaeS�i�� Phon % /0/ 51-0613
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE