HomeMy WebLinkAbout1220 Truxtun Dr - Applications/Basement Finish - 01/31/2006BUILDING PERMITS & INspEcriONS DIVISION
-`° P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER \ C4 D044 9 APPLICATION DATE
Job Site Address I O r r^x t 1 n � Unlit #
PROPERTY OWNER INFO: +(All owner information is required - it is not optional) Phone # I 1 () 3/7 O� 7
Last Name L d < S e I Icy- First Name RQ be r� Middle lrt-N Iq A hi //
Street Address : - -O j t- (n X U 11 City Fm } C a 1 1' o S State C O Zip F0 S '2 b
CONTRACTOR INFO: Company Name
Lic. Holder
Mailing
Contractor Phone
City of Fort Collins License # Supervisor Cert #
State Zip
Filing # Lot # Block # Lot Sq Ft
Total Building Sq Ft (not induding basement)
Residential Sq Ft \
1a Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Total Garage Sq Ft
Sq Ft It of Stories Bldg Height # Dwelling Units
2"" PtW Sq Ft
# of Full Bath
Energy into: (Ciro
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft�Z
% Baths
roprlale choice)
script
List appropriate of
% Baths # of Fireplaces
1. ComCheck 2. ResCheck w/Air Sealing
w/Air Sealing 6. Prescriptive w/Blower Door
Metered: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only)):: ❑ 150 Amp or Less ❑
Value of Construction (including labor, material & profit) S 4 5�oo 454 1 O l , t�
Yes or No
Amp ❑ Other
03
Description of Work: 6 c. s e-m evt I n�, S r t 2 Se ( r f rtk((K (OtNY1 I
rrxv✓� . z vn s S rCl�t ran s_ 1
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
� le-Jy� Mechanical Plumbing U n�C� s Nt, Nrn u
Electrical M�rg� �- rr
Framer Roofing Concrete Other in Sfo-n Cl'r 21461
Applicant: I hereby acknowledge that I have read ttt application and state that the above Information is correct and agree to comply with all requirements
contained herein and City of Fort Collins ordinan2pli,4nj state laws regulating building construction.
Applicant Signatur Print Name IrD9,&C1' W5ETROt— Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stonnwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE