HomeMy WebLinkAbout5106 Saffron Ct - Applications/Basement Finish - 10/10/2008BUILDING PERMITS & INSPECTIONS DIVISION
PO Box 580 Fort Collins CO 80522-0580 Phone 2216760
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www fcgov com/building �a��
City of Fort Collins BUILDING PERMIT APPLICATION
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APPLICATION NUMBER �0�LQ I. APPLICATION DATE `� I O
Job Site Address 5100 S�-(—Fk0 AI Cr gUnit # 1_
PROPERTY OWNER INFO (All owner information is required — it is not optional) Phone ld� � S31U
Last Name / - First Name u S� -N "t Middle
Street Address ���tP p0 t\1 CT City FT OU4Al S State C-0 Zip Bbsas
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 Budding Sq Ft (not including basement)
Residential Sq Ft Comm I Sq Ft
1st 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
State_
Block #
Supervisor Cert #.
Zip
Lot Sq Ft
Total Garage Sq Ft
# of Stones Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft z 5z
# of Full Baths '/< Baths '/2 Baths
Energy info (Circle appropriate choice) 1 ComCheck
4 E Star w/Blower Door
Water Tap Size Sewer Tap Size
5 Prescriptive w/Air Sealing
List appropriate option #s
# of Fireplaces
2 ResCheck w/Air Sealing
6 Prescriptive w/Blower Door
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) to, wog , (cc)
Description of Work PA/RTI M- Pam M g1 IT a toj7t
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical GROCo
Mechanical
Plumbing
Framer Sc. +Lzl Roofing Concrete Otherr(p�ii'fyl /Z
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 Collin ordinances and state laws regulating building construction
Applicant Signature Print Name Phonef7;9R,35 34,
Distribution White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE