HomeMy WebLinkAbout3400 Pearstone Pl - Applications/Basement Finish - 02/24/2006Job Site Address 3400 PPar,5--one. PLACE FC. 965PC Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # =3 " f �9D
Last Name U %LC Y First Name 1969DON A-h11A :�:�& T4 Middle
Street Address_ 900 P°OW&nilPIA66 City ►vp/Zr COW" State —CO Zip
CONTRACTOR INFO: Company Name �O1 1FLIFIF"M I,pNSTRilG771 Contractor Phone # / �� -;?a 19�Q
//��f_ #4 �-�
Lic. Holder Name hehlt�w,h rr , I.w� City of Fort Collins License�/# Supervisor Cert #
Mailing Address 57 I W. �j � � City L ONE j<trn Q State co Zip K65319
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1 st 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:
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height
# Dwelling Units
_ Unfinished Bsmt Sq Ft % 7 / Finished Bsmt Sq Ft
- % Baths i % Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
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: KGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 3q, goo,
Ob
DescriptioW Work: / Al 1SN �x1 Si"//li� is .11'J /li r .
Contact Name & Phone # of JOBSITE SUPERVISOR: %pu4
Subcontractor Info: C }- �)
Electrical iiREaae N LG CT-91 L Mechanical tO S 0 7 R' Plumbing POLERi4-0o D r
ZWI+&N6-
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 rdinances and state laws regulating building construction. r�
Applicant Signature Print Name Aw" n 7/70, *-5 Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE