HomeMy WebLinkAbout700 Stoddard Dr - Applications/Basement Finish - 02/03/2006„ BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City ofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER T)G VJc OO �t { � APPLICATION DATE c:�' ✓ O (a
Job Site Address ?00 S 7-a,1,1*e,1 aie Unit # it
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # f 7 0 '{93 - 46Z
Last Name /::: Iti'k First Name /916pe� Middle
n
Street Address 00 5 n ewl e /% Ic City rQ407' tlO/%r'y S State d O Zip 05: G
CONTRACTOR INFO: Company Name O tLj wet Contractor Phone #
Lic. Holder Name
Mailing Address.
LEGAL INFO:
City of Fort Collins License #
City
Subdivision/PUD C(jN L e -T Filing #
CONSTRUCTION INFO: Total Building q Ft (not including basement) _
Residential Sq Ft Comm] Sq Ft
1 st 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
Lot #
Supervisor Cert #.
State Zip
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
00
_ Unfinished Bsmt Sq Ft_ Finished Bsmt Sq Ft �5
# of Full Baths 114 Baths Yz Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
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) $ ,:200, ”
Description of Work: 46 ffS e /r4 r .L Y� /= r a Sf� PF/ ,�t�d�N( l�AT /= Z%
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical 0 kJ /L v2 Mechanical 0 tt,) ot- -0./(, Plumbing G cy
Framer Roofing Concrete 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 ordinances and state laws regulating building construction. /
Applicant Signature l
X � „�, Print Name e4cer J ',iv/C Phone VV E'J 5-G 2-
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE