HomeMy WebLinkAbout6118 Constellation Dr - Applications/Basement Finish - 05/08/2013City of I COMMUNITY 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 at "JL/,C ` r% APPLICATION DATE 10 I �o 1
Job Site Address � 113 C-v n. s '7-e /f a 7'1 bn 10 h. Unit #
PROPERTY OWNER IN O: (All owner information is required- it is not optional) Phone # 6 a t, -e- 5
Last name n G +.Qg y� First Name Icy e k I Middle C_.
Street Address & I f � C C,1, S r, (f ct / f C, ', 0 V- City r" N^ I Co State Co t`u Zip
CONTRACTOR INFO: Company Name
Lic Holder Name
Contractor Phone
City of Fort Collins License # Supervisor Cart #.
Mailing Address City State Zip_
LEGAL INFO:
Subdivision/PUD Filing #.
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm] Sq Ft
P1 Floor Sq Ft
2nd Floor Sq Ft
Lot # Block # Lot Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft I a o o # of Bedrooms # of Full Baths -A. '/. 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) $
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
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 Fort Coll' s�ordin ces and stat laws regulating building construction. J
Applicant Signature �iG�(�� Print Name A < k I L c, /e ! Phone 2V�I O I O
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE