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HomeMy WebLinkAbout2013 Angelo Dr - Applications/Basement Finish - 12/03/2007BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building 6 CitYofFort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER 1(J D /�/OV b �— APPLICATION DATE l a -3 -0�I Job Site Address a 01 3 A rtSedo brr, A oWn9 _C0 S a�2g Unit # PROPERTY OWNER INFO: (All owner information is required - it is no11t optional) nP�hone # 13 - CISW Last Name LC r-etA First Name -Toj ��+ �1r� r Middle �� Street Address )G13 /+dIG[.1D Dr City . (�//i �S �Sttaate � Zipt� —0- .2, CONTRACTOR INFO: Company Name r?CUrvtArlo 64g51 • Contractor Phone # &T ti g ot7 O ` I 4�J O Lie. Holder Name f/ I r 1 City of Fort Collins License # G I - �7JI Supervisor Cent # 'vim Mailing Address 5-7°� , ( (" Jt - City .),Le lei State Zip LEGAL INFO: Subdivision/PUD Filing # Lot # CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Residential Sq Ft Comm'I Sq 1st Floor Sq Ft 2nd Floor Sq Ft Block # Lot Sq Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units e/ Unfinished Bsmt Sq Ft V I Finished Bsmt Sq Ft S ob # of Bedrooms �_ # of. Full Baths 5 3/< Baths _ 1 '/2 Baths r— # of Fireplaces 6 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 # UTILITIES INFO: List appropriate option 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 q ud Value of Constructions (including labor,material & profit) $ / l Description of Work: P i Ts1� po r` ` cyi �hS �t D � c l ok �` `( 'I ✓gd %`eG - ►'ZZ+-2111 Agra. �i�OSr 6r"501Yten � � SF r'lsv Iru�,.a� Contact Name & Phone # of JOBSITE SUPERVISOR: 4SAriw m Arr+c'of -r)b-7- 002(o Subcontractor Info: L L /� �+ /' /J / D Electrical (7t�GKil L-'�Gt�'7 t. Mechanical /"j'I 5eA-'C,yl Hh Plumbing ©�0/`do ! r't�,rr,��jy,� 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 and state laws regulating building construction. � I An (�, ¢ Gt Applicant SignatureAZkE� 72 Print Name /- I .-[ Yl� /'frTt�I C� Phone ��V ` / 1�� Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE