HomeMy WebLinkAbout1306 Streamside Ct - Applications/Basement Finish - 08/11/2008BUILDING PERMITS & INSPECTIONS DIVISION
PO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFottCoyin„ BUILDING PERMIT APPLICATION
APPLICATION NUMBER
r/0 C) 47 q J APPLICATION DATE a- I''y "
Job Site Address l �Q G J lzary6f,�e a Ft. Unit ##
PROPERTY OWNER INFO: (All owner information is required - it//isnot optional) Phone # y 7O' 2yJ 3�i�
Last Name W t f-orI First Name Middle
Street Address 13e S ear n�, aCL �f . City aGt. Co/�(1,;.� State �� Zip �b _,7
Company Name 40600 r Contractor Phone
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGALINFO: / L
Subdivision/PUD Filing # Lot # 7 3 Block # Lot Sq Ft '7QC'93
CONSTRUCTION INFO:
Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
15t Floor Sq Ft
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms
# of Full Baths % Baths '% 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
UTILITIESINFO:
Water Tap Size
Sewer Tap Size Metered: Xe�/or No Temp. Pedestal: Yes or No
/
Type of Heat: (a Gas
❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 7� � 000
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
I`rn, 9-70.223.324-°
Electrical ,9W t7 e ✓(MeS&I lr`wJMechanical CV (S-A s-4 Plumbing ✓ou )j t,�; GL r��vg �0[dea�
Framer 0 to rne.✓ Roofing / td-- Concrete 4t6r Other
Applicant: I hereby admowledge that 1 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. f ,
Applicant Signatury-N /f/VI i'l.dV(d/ b)6CM, rh. Print Namaj(d-rI hl AC k/Q l"fio✓t Phone .'q?D' 213'32-99
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE