HomeMy WebLinkAbout609 Peyton Dr - Applications/Basement Finish - 10/18/2007.,, BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 8052Z-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 4�— APPLICATION DATE
Job Site Address Anq r Y i 17r - Unit # /L!�
PROPERTY OWNER INFO: (All owner information is required - it is not ��� (�7 7�ot optional) Phone #
Last Name�lA_ l fitC�. First Name /C7`�OLt^ Middle C,
Street Address C)I)� �yL�W—�.r��- 0l -(� City et C*'— State
'(0 Zip
CONTRACTOR INFO: Company Name JtJS1 �CMa"-�r'�R t' Contractor Phone # 6 7z fc�
Lic. Holder Name ,p aa !t-CCity of Fort C IlinsLicense # kJ ,�,%7S_upervisor Cart #
Mailing Address ( V ° /� v 0 X ;6 / 712/ City --FT- /
State -71 Zip tya f 2-5
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
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 Y: Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door W
List appropriate option #s
Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only 50 S� Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material &&profit) $ � Cl
Description of Work: 94st ✓i't t� - '� t S� J 00 xn `
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Flertriral17l LiiZo, 4kYG. Mechanical r1 an{ Plumbing 1'6 M-C awo'ec
Framer Roofing Concrete Other
Applicant: I hereby acknowledge t t I e r is application and state that the above information is correct and agree to comply with all requirements
contained herein and City of F Ili or ' a s and state laws regulating building construction.
Applicant Signature Print Name ���u i�QUtr.Ct' Phone
ribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE