HomeMy WebLinkAbout1015 Andrews Peak Dr - Applications/Basement Finish - 05/12/2006BUILDING PERMITS & INSPECTIONS DIVISION 3
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov conVbuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER +/ APPLICATION DATE I O l
Job Site Address (��� (�,1 —,��� Unit # 1
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name First Name `
t9.�lf � Middle
Street Address CitySJp��CY�j State Zip
CONTRACTOR INFO: Company Name��� "n e Contractor Phone # q`,Q • �� �
Lic. Holder Nam i City of Fort Collins License #C I Supervisor Cert #
Mailing Address _yae (` �Ae�•n, City�(����., State_ Zip
LEGAL INFO:
Subdivision/PUD �,p���. '� Filing #Lot #_2)L_ Block #_.\___ Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft # of Stories
1st Floor Sq Ft 2nd 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
Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft �—
# of Full Baths % Baths 'Y2 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: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description of Work:_�z�yy_" YN)e
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical •( Mechanical �g--1--) Plumbing
Framer oofing Concrete Other
Applicant: I hereby acknowledge that I h e 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 Print Name����Wj
Phone
Distribution: White — i Yellow — Applicant Pir
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE