HomeMy WebLinkAbout857 Saddlebrook Ln - Applications/Basement Finish - 08/28/2006City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 5W - Fort Collins, CO 80522-05W - Phone: 221-6760
www kgov com/builifing
BUILDING PERMIT APPLICATION
APPLICATION NUMBER_. a�E a� APPLICATION DATE_ Q �v �� v U
Jab Site Address %51 5 i2Jc1 << brb b V- I n R ILL (c a s Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 91 - ZZ5 5Z (0
Last Name_ ((m r om 1 (/First Name_ M TI P i Middle "I C e
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Street Address S- 61 Sin i cb bmD 4.. L41 City Fl ox 1 � i n S StateT,A,Zipe�052 57
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not induding basement)
Total Garage Sq R
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1A Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Ff Finished Bsmt Sq Ft -7iQ % ff
# of Bedrooms # of Full Baths % Baths +r4 Baths # of Fireplaces
Air Condldoning. Yes No Energy Info: (Circle appropriatte choke) 1. ComCheck 2. ResChedk 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
Type of Heat: ❑ Gas ❑ Electric
Metered: Yes or No Temp. Pedestal: Yes or No
Electric Main Breaker Size (Residential) only): ❑ 150 Amp or Less ❑ 200 Amp O Other
Value of Construction (including labor, material & profit) i o 101b z( rk . I / L1 - IU
Description
Contact Name & Phone # of JOBSITE SUPERVISOR:
SubcontracWr Info,
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Electrical L,aJ100 �-�qc Eftc flL �Oq/Mechanical �A'1f;" �CV, 4 /jj Plumbing Vah P�ttvn6im
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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 ordinances and state taws regulating building construction.
Applicant Signature Print Name Phone
Distribution_ White - Office Yellow - Applicant Pink - W W W/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATIO