HomeMy WebLinkAbout2909 Ruff Way - Applications/Basement Finish - 09/16/2008BUILDING PERMITS & INSPECTIONS DIVISION
r t; P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
WWW.fcgov.com/building
nBLUIL�DIIP PERMIT APPLICATION
City of Fart Collins n n n
APPLICATION NUMBER - is IA \%I I IK Ill PA Y y APPLICATION
Job Site Address Z� U ( Kut--L Ott, it Unniit # / ([�%
PROPERTY OWNEER-INFO: (All owner information is required - it is �n/ott optional) /(P1hrone�, # (� - 066
Last Name ��I t ffp1 First Name Dgew f 5C-04/�fUtt� Middle Street Address City Fd�4 6'WlNX State �J_ Zip EO SZ-S
CONTRACTOR INFO: Company Name Of r �Ff S (ILL Contractor Phone # / p 6CO1F- G 6 W
Lic. Holder Name City
p c / F / ? �� City of Fort Collins-, License # Supervisor Certp#
Mailing Address 7 (/ 5. U(640 X— City 600CL �p State 6z) Zip O L1-y J -;r-
LEGAL INFO:
Subdivis
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft2:o--1 /Z-TFinished Bsmt Sq Ft
# of Bedrooms �_ # of Full Baths '/a Baths ll' '/z Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size
Metered: Yes or No
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less 13200 Amp ❑ Other
Value of Construction (including labor, material & profit) $' � O t �e(15 "
2-0
Description
Contact Name & Phone # of JOBSITE SUPERVISOR: SgAwr) (,�73><l7;Li— of ?t - I/zo - 2z-DJ
Subcontractor Info:
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Electrical l li" 0e(+/ c. Mechanical �( (v sji/V Plumbing Opw kwoli
Framer
Roofing
Concrete
Other
Applicant: I hereby acknowledg at 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- F t,Coll/in/��-�grZ
es///,,,aaa///ppp state laws regulating building construction. /� C
Applicant Signature / PrintName N 6t5WLC, Phone
Distribution: White — Office Yellow — Applicant Pink — WVWV/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE