HomeMy WebLinkAbout2751 Sternwheeler Dr - Applications/Basement Finish - 11/16/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER _� APPLICATION DATE //�/l!! ✓(
Job Site Address 2-9 5 5 F�t-hwl.e e le t' Ur_ ��� zy Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 1 G — 2- 13 3- 1
Last name I" `&\,( ,, ✓\ First Name Middle t ✓i =�
Street Address Z 3 5 c +- r City State C_ 3 _Zip 77
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Contractor Phone #
City of Fort Collins License #
City_
Filing # Lot #.
Supervisor Cert #
State Zip
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Corri Sq Ft # of Stories Bldg Height # Dwelling Units
1 s' Floor Sq Ft � 2^' Floor Sq Ft _
Finished Bsmt Sq Ft # of Bedrooms
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Full Baths '/, Baths /z 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. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
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)
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby ac ow edge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and ity of F rt Collins rdi nces and state laws regulating building construction.
/ f' , vN Phone SignatuPrint Name L7 / 3 - %?°I
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THUS APPLOCATIOM IEXPORES 180 DAYS FROM APPLOCATOOM DATE