HomeMy WebLinkAbout4115 Cedargate Ct - Applications/Basement Finish - 04/11/2006`X
BUILDING PERMITS & INSPECTIONS DIVISION
t 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 V S APPLICATION
Job Site Address 1:5-t,Ap-l=( , ; Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name First Name Middle p+
Street Address City State Zip O D 5
CONTRACTOR INFO: Company Name C Contractor Phone #�
Lic. Holder Name VCity of Fort Collins License # D- 7 Supervisor Cert # 1!7
Mailing Address �% ,(l b (L[-_ � City , L State j _ Zip_0��
LEGALINFO:
Subdivision/PUD �j{� �Q Filing # Lot #.
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:
Block # Lot Sq Ft
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
# of Full Baths 3/ Baths '/2 Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric Electric Main B
Value of Construction (including labor, material profit)
Description of Work: �/Y!/.7(iT rF. / .i ►I C,
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical �..t =� J fjMechanical
Framer-
1� Roofing
# of Fireplaces
2. ResCheck w/Air Sealing
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
V v
Metered: Yes or No Temp. Pedestal: Yes or No
Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
0 K_ 10 = "a I �___
Other
Applicant: I hereby acknowle a that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Ci of art Co ' rainances nd state laws regulating building construction.
Applicant Signat re
Print Name Phone
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
Concrete
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE