HomeMy WebLinkAbout5632 Cardinal Flower Ct - Applications/Basement Finish - 05/15/2013COMMUNITY 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 SI W Zan APPLICATION DATE S _15- L3
Job Site Address S' .302 n rdi a ,g L. F/o wQ= Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # q 7d-e il�"at
Last name k/ iL'i First Name TES Middle ^—
Street Address 54.52 n&%al f'&AVI--o2 / city fT �Gz/kS Stated_zip
CONTRACTOR INFO: Company Name /%2j.Ltf %/ d��% j o!? 14e Contractor Phone #
Lic Holder Name ���y� 4Z h�d %///� City of Fort Collins License # Supervisor Cart #
Mailing Address 91,Qo_%3t aii S Dr City F/ t'oState CD zip d C
LEGAL INFO:
Subdivision/PUD Fps PS �j/�� Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
1 s' Floor Sq Ft
Finished Bsmt Sq Ft
Comm'I Sq
2nd Floor Sq Ft
# of Bedrooms
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3`d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Full Baths 3/. Baths '/2 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
as
Value of Construction (including labor, material & profit) $ a 4 300
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical I) PId lie. V E f ler7/ Mechanical
Framer��-dtjl !/��T 4 Roofing .----
Solar Other
i-'j
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 of Fort Collins ordinances
and state laws regulating building p construction. J
Applicant Signaturel�{ L\ �� Print Name /`, UNIT /1 o71-, Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE