HomeMy WebLinkAbout1624 Redberry Ct - Applications/Basement Finish - 01/04/20086a
Citv of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER . U Z APPLICATION DATE
Job Site Address
4 W�'e
){4S , O}W Unit #
PROPERTY OWNER INFO: (All owner information is required - it is notl
optional) Phone # `7 7�3 ` 223
Last Name ^5ZI'�- First Name l y�" Middle
Street Address �L-A1O Mrn j City :rt�� <-Ab) Ll State Zip ZS
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Address
LEGALINFO:
Subdivision/PUD
Contractor Phone #
City of Fort Collins License #_
City
Filing # Lot #_
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft 2.2S-F Comm'I Sq
Supervisor Cert #.
State Zi
Block # Lot Sq Ft
Total Garage Sq Ft S7's�
# of Stories 2-- Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft `� (57 Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms _4 # of Full Baths �3 1�4 Baths / Baths _ # of Fireplaces Z
Air Conditioning: es 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 4S
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered�r No
Type of Heat: `,Gas ❑ Electric Electric Main Breaker Size (Residential only
Value of Construction (including labor, material & profit)
Description of Work: 'PcxV41 r 1-S), U147-5 v l
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Temp. Pedestal: Yes or No Q
❑ 150 Amp or Less ❑ 200 Amp ❑ Other
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 of Fort Collins ordi ances and state laws regulating building construction`.'
Applicant Signature Print Name M�`a-r t1 �a� Phone'3V-'Z23-8'&`r6
a 9- White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE