HomeMy WebLinkAbout403 Strasburg Dr - Applications/Basement Finish - 11/27/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 50522-0550 • Phone: 221-6760 I
www.fcgov.com/building �K
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER =L/`V C �� APPLICATION DATE_ `//c2q(:I-7
Job Site Address �I0 3 S �'va s b u v q J)v Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 9 70 2 7 7 �- A a4-5
Last Name Ro b cy-L First Name JC , y Middle D
Street Address J% 3 S f y4 s,A a y4 CDr City Frf dm71, n s State �D Zip5—
CONTRACTOR INFO: Company Name ffo me- L7 07� to 17 2 r' Contractor Phone # � 7-37 - A65S
Lic. Holder Name fC o IfPo b e yto City of Fort Collins License # Supervisor Cert #
Mailing Address YO3 S ? el,00 wr9 zi r City %oY� Cm1� kt State c / d Zip g�sa�
LEGALINFO: n n
Subdivision/PU/C iD lge Wo �� �l< i �i D Filing #e,2,-_ Lot # /- / Block # Lot Sq Ft 860 D
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm9 Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft. 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/+ Baths '% 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
UTILMES INFO:
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) $ o2006. I
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
U
Plumbing
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 off Fort Collins ordinances and state laws regulating building construction. /
Applicant Signature /� v 7 �✓ �,� '`� Print Name ROV D Rob 2rt5 a Phone /7i0 377 A-,��
Distribution: White - Office Yellow - Applicant Pink - WVWV/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE