HomeMy WebLinkAbout5944 Snowy Plover Ct - Applications/Basement Finish - 11/16/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER LLJ JU "0 S ` I APPLICATION PATE
Job Site Address 1 `1� �,�U��.t� •, n L v�� Vh/�b Unit # / Q
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 7 -7
Last Name i.�'7h First Name *- jkj4_ Middle
Street Address � A tda'*y j sr w rA. CitState �ili Zip
CONTRACTOR INFO: Company Name ntractor Phone # - /"7
Lic. Holder Name � '� .,,,,..._ _,_ 9.7"!�City of Fort Collins Licens # ,� Supervisor Cert #
Mailing Address ,F1--
f6 6 LJ@ �{�� City A d � 4444�,aLA5 State 10 Zip Gi
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft.
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
1st Floor Sq Ft
2nd Floor Sq Ft
# of Bedrooms 1 # of Full Baths
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft %
% Baths '/2 Baths I # 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): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description of Work: R
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical � ����7 �Mechanical LAoky AIA) Plumbing
FramerConcrete 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 ordinanc and state laws regulating building construction.
Applicant Signature C. Print Name �z.� hone
t
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE l 0 , ) ( - IDS