HomeMy WebLinkAbout4720 Prairie Vista Dr - Applications/Basement Finish - 07/24/2013'Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO BOS24 • Phone: 970-416-2740
www fcgov.comibuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 30 g aa- APPLICATION DATE
Job Site Address4720 Prairie Vista Dr Unit # ((��G
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # q-1 U —(0 o D — —a—�
Last name Branjord First Name Dennis Middle Allen
Street Address 4720 Prairie Vista Dr City Ft. Collins stateCO Zip80526
CONTRACTOR INFO: Company Name Contractor Phone
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
City of Fort Collins License # Supervisor Cert #
City State
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height At Dwelling Units
161 Floor Sq Ft
26d Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft 96
Finished Bsmt Sq Ft 1,016 # of Bedrooms 1 At of Full Baths 1 % Baths 0 /2 Baths 0 At of Fireplaces 0
Air Conditioning: YeGon 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 # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes F—]NoE] Temp. Pedestal Yes[--] No ❑
Type of Heat: ❑ Gas 11Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit)
Description of Work:
Frame, wire, plumb, insulate and finish 1,016 sq ft of asement.Includes 1 family room 8 ar, 1 edroom, 1 sewing room,
1_shop, 1 walk-in Closet. and 1 full bathroom.
Contact Name & Phone At of JOBSITE SUPERVISOR: Dennis Branjord (home owner) 970-682-2727
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 of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature
Print Name Phone
Distribution: White —Office Yellow —Applicant Pink—WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE