HomeMy WebLinkAbout2939 Ruff Way - Applications/Basement Finish - 02/27/2006BUILDING PERMITS & INSPECTIONS DIVISION
' P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 70 ( (00 l 9 APPLICATION DATE
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 7 70 - rs Ls�
Last Name 12�1 • VN First Name Middle
Street Address,293c1 R(A4 1' City; Co tip 1-1A State CO zip
CONTRACTOR INFO: Company Name C),, AnOex--SC%�\ Contractor Phone # 0/70`",!;-3'?- A399
p p 6-aoea as l $1
Lic. Holder Name ClCw► d YY�GCU YI City of Fort Collins License #Q503 gZZl KSupervisor Cert #
Mailing Address ,56 ( V7c--nk en 0 r- 0%�� G City WZ y► Okc-c� State 60 zip s' 0lss-o
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential 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:
Total Garage Sq Ft
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft `��� Finished Bsmt Sq Ft 3-4'�!D
# of Full Baths % Baths '/ Baths # 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
Water Tap Size Sewer Tap Size
List appropriate option
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) $ /coo
Description of Work: o ►'1 �.St f?C _
1.9 i I [ 19e-v,i.,:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical luocyeS )ecwc Mechanical) N% Plumbing &fi'-
Framer Q A nc ex-,C-0>R Roofing /�- Concrete i0t 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 Signatur Print Name jC -� Phone n1r.
Distributi n: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE