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HomeMy WebLinkAbout2408 Tamarac Dr - Applications/Basement Finish - 01/16/2008BUILDING 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 VO 0055 � APPLICATION DATE / — l C/ — O 9 ,Job Site Address �y08 / 4 YYLn rQc 17t� e Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970 - yC-2 - &3513 Last Name �o v a cc L .l /L First Name � ;.0o 4 s Middle Street Address z y© OC /u &N-nyrca c w—f J P City�-orTL State O0 Zip Fib--Z/ CONTRACTOR INFO: Company Name Lic. Holder Name Mailing Address_ LEGAL INFO: Subdivision/PUD Contractor Phone # City of Fort Collins License #. City Filing # Lot #. CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Residential Sq Ft Comm'I Sq 1st Floor Sq Ft # of Bedrooms Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Supervisor Cert # State Zip Block # Lot Sq Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units 2^d Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Full Baths 1/4 Baths '/2 Baths # of Fireplaces Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door 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 ,Value of Construction (including labor, material & profikj $ 1500 Description Contact Name & Phone # of JOBSITE SUPERVISOR: / 5 Le 1, oov Subcontractor Info: n / / / n &Yectrical (9ane� - �tt+� rr.K2 / r.Mechanical C/ �a(F/ / o. Plumbing Framer uw 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 Col 11—Orr' ances and to laws regulating building / © Vioconstruction. Applicant Signature Print Name r Phone Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE