HomeMy WebLinkAbout3280 Twin Heron Ct - Applications/Basement Finish - 04/16/2013COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City of
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
APPLICATION NUMBER 5120 { 7''53
Job Site Address 32,80
PROPERTY OWNER INFO: (All owner
Last
Street Address J2-
Lic Holder Name
Mailing Address t
LEGAL INFO:
Subdivision/PUD
BUILDING PERMIT APPLICATION
APPLICATION DATE / -f 6-13
%r„✓ \ Unit # q
is required - itisn t optional) Phone #(/ 9%Oj Z-7-3 - 114 /
First Name //of -� ff ,"" Middle
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J w `ri✓� �?i Dory ; \ City iZer t OL< iiv.S State b zip P-05-2-4
, Des) NamewContractor Phone # 70)
c✓ r�ST>=X ,r City of Fort Collins License #D2--2-tj Supervisor Cert #
<.tlfr XFrzoo r� �I2. City 6P -` * �-3 State Co zip cp-oSZy
Total Building Sq Ft (not Including
Residential Sq Ft I Comm'I Sq Ft_
151 Floor Sq Ft 2nd Floor Sq Ft
Finished Bsmt Sq Ft
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3r1 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # 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:
Water Tap Size Sewer Tap Size
List appropriate option #s
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) $I 56
Description of Work: )Oc";+ JJ t 01Z!6 .S-4S lu jq'iv i5 Hrr� as;�srrJ,r�,7— � j/ 4fA7;V- ir✓1�e>
Contact Name & Phone # of JOBSITE SUPERVISOR: //Z' fz�S7z� 9%D
Subcontractor Info:
Electrical .4a j9ec-7a2.'c- C Lf- Mechanical
Framer
Solar
Roofing
Other
Concrete
Other
Plumbing 1 ena,*-7t Rrrr ry-4,
Fireplace
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 laws regulating building construction.
Applicant Signature Print Named %6��'/��
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THUS APPLOCATOON EXPORES 180 DAYS FROM APPO_OCATION DATE