HomeMy WebLinkAbout1412 Castlerock Ct - Applications/Basement Finish - 02/15/2008BUILDING PERMITS &L INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
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City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER C / �lJ✓ (� O\ APPLICATION DATE
Job Site Address Iq is C At,; t L 0�,CCK PRI lfC Unit # q
PROPERTY OWNER INFO: (All owner information is required — it is noott o(
optional) Phone # 10 Z(RZ I
Last Name 6--70 First Name Middle
Street Address �Z �V 15�Lir�OGK 1)k City State (—t] Zip CSa-k
CONTRACTOR INFO: Company Name sE, ,F Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGALINFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2-01C) Total Garage Sq Ft 3hCl
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths '/< 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 #s
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): Od 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ WD k-3,-1 rna Cc-,
Description
t`T' � X IS rl f\i l0a-1
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
U3
Plumbing
;It ' I
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.
Applicant Signature Print Name Phone
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE