HomeMy WebLinkAbout3177 Kingfisher Ct - Applications/Basement Finish - 11/27/2007BUILDING 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_30 APPLICATION DATE
Job Site Address 19 � ki"10- 6 i -e e rT Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone
Last Named P77P a / U -
Street
First Name / / / 0 /'CU Middle
J� CT. City L'� /State �y, Zip kD .Sz
CONTRACTOR INFO: Company Name ! VC4.%/ J /10"t 14ontractor Phone # -1-7O - 3to - 0570 a
Lic. Holder Name t" l 0v^ /Pt VI City of Fort Collins License # Supervisor Cert #
Mailing Address 3 �' -1 oo ^1 TZe City , (- /4_j State -& Zip Qj o7 2
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
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
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/< Baths /2 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 Size
/(Residentia only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description of Work� ME �0141W
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
s -r /�Electrical /��i7neC e_ Mechanical lele/4r
Plumbing
Framer Roofing Concrete 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 an laws regulating building construction. I q
Applicant Signature-1� � Print Name f"' rA✓T C i IG✓ Phone 7o 710-0669
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE