HomeMy WebLinkAbout2750 Brush Creek Dr - Applications/Basement Finish - 01/02/2008yPROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name F U L- L_ E Vk OfJ First Name J a j Roo
BUILDING PERMITS & INSPECTIONS DIVISION `^ w�x�
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
kw� www.fcgov.com/building ✓ C
CityofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 'Td O • 00 O U00,0, APPLICATION DATE ' i.2b O
—Job Site Address 905p UwskA Ca-cer Q_ (Z/ �T &-- iiJS Unit # fir,
Phone # R-�o S77 7�0�
Middle
Street Address 2750 lE>"SK Ca.el�� 1c) 2 City FT CAL -Lk t-� S state CQ Zip %OS-2
CONTRACTOR INFO: Company Name
Lic. Holder Name of Fc
Mailing Address City
LEGAL INFO:
Subdivision/PUD
Collins License #
Filing # Lot #.
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:
Comm'I Sq Ft
2nd Floor Sq Ft
# of Full Baths
Supervisor Cert #
State
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stori t
Unfinished Bsmt Sq Ft 520
Z. Baths 2
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
Water Tap Size Sewer Tap Size
List appropriate option
Metered: Yes or No
- Rpished Bsmt Sq Ft ( 50
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
-1 Value of Construction (including labor, material \& profit) $ \sue �y, \-�C`\f,
vDescriptionofWork: AdA Q �T06Vx c,nc� �A Yea\' A
1n r- SnMPA- /I--
Contact Name & Phone # of JOBSITE SUPERVISOR:
---Subcontractor Info: Avr&4 e � ` r 140X
Electrical 1�Rt���"t PF�E� Mechanical Plumbing Vt�\
Framer �JE� Roofing Concrete OtherC
,
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to com?lRith all requiremen.-2 Z(�
st..X
contained herein and City of Fort Collins ordinan s and state laws regulating building construction. 2 I-L-�TJ .Applicant Signature !1 /u` �f � Print Name JC�n1 �UOO Phone V 3� "N
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE