HomeMy WebLinkAbout1257 Truxtun Dr - Applications/Basement Finish - 05/04/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 - Fort Collins, CO 80522-0580 - Phone: 221-6760
www.fcgov.conVbuilding
Citvof Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 7►��� APPLICATION DATE
Job Site Address I Z- 5 7 -7-R U X LA -pi Dk . Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # ? ?a - Z-$ Z-
Last Name STi4 rJ 7-yn/ First Name 14 c 6,4 IJ Middle 4.
Street Address ! Z9 :�- City l''r Co LL-, n1 S State 40 Zip
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State, Zip
LEGAL INFO:
Subdivision/PUD 9 C 61 ST K.y 91 D 6 E` Filing # Lot # 1 Block # Lot Sq Ft 601 `Z
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
Ist Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft l qO Finished Bsmt Sq Ft J
# of Bedrooms # of Full Baths % Baths Y2 Baths # of Fireplaces _
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
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) $ / 7—; 7 7'/
Description of Work: Fi nt 1 s M A4 s c M E N 'f- FA m i L-1 o An % 13 E'AR.00 m / FraLL AA rN l.o o >vt
43 a Sr
Contact Name & Phone # of JOBSITE SUPERVISOR: P 6 6 A r l STA r✓ 710A o - 2.8 Z -/L10
Subcontractor Info:
Electrical Mechanical
Framer
Roofing Concrete
Plumbing
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 Ci of Fort Collins ordinan= and state laws regulating building construction.
Applicant Signature i-- Print Name nA(� A S bn Phone o 3a " a
Distribution: White - Office Yellow - Applicant Pink - VWVW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE