HomeMy WebLinkAbout4808 Caravelle Dr - Applications/Basement Finish - 02/27/2008BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: Z21-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER —ROW I --� O APPLICATION DATE /� •�S / „ v 9
Job Site Address f 1 Cd r41 /P H&-j) r-. Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 7/70)c'U3 -8,S 3 7
Last Name `,-t )i.—TS IFirst Name �-111 y�—-+b4i—L Middle
Street Address )4 P C) Ck y-a t,1 co ` j 4 t, I-)� City `—O et La L ( 1 h 5 State_Lo Zip 90S
CONTRACTOR INFO: Company Name SEz/'�' Contractor Phone
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Addres.
LEGAL INFO:
Subdivision/PU
City
Filing # Lot #_
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft
1st Floor Sq Ft
# of Bedrooms
State Zip
Block # Lot Sq
Total Garage Sq Ft
Comm'I Sq Ft # of Stories Bldg Height
# Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft —7 `/— Finished Bsmt Sq Ft,0
# of Full Baths % Baths /z Baths # of Fireplaces
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 # List appropriate option #s
UTILITIES INFO:
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 & profit)
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor info:
Electrical 7 " 7 CuJ7o n EcEc Mechanical Trec /'P,"%r Sys .ws Plumbing %uc 6LoS,
Framer S�Lf Roofing Ay=IA 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 andstatelaws regulating building construction. ' 1 970)
LGi2t�� �(1 �/ ' A -� Phone `aaa-as37
Applicant Signature T /,! Print Name h I �} (:�
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE