HomeMy WebLinkAbout1215 Bateleur Ln - Applications/Basement Finish - 07/10/2013City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
_F6rt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER .-/ 1 e/V ,/' t it I APPLICATION
Job Site Address �Z15 5aJc-1 e,,& - Lv)_ Unit #
PROPERTY OWNER INFO- (All owner information is required — it is not ontional) Phone It / !U "'f'/J 2 — T 7 / CO
Last name ��/// / L-0 �Flirst N/am�e 1,,4,6 /-A Middle //
Street Address /�� -35 -7�Z-45J- LnC Z , d City J/ • (:044-1 S State C_10 Zip Syr
CONTRACTOR INFO: Company
Name o % �Lsoe, y� W454 i% r—/ Contractor Phone # /'1U 431 ',46 !y
Lic Holder Name h /ruYl �L��(!/JC'�/�/� City of Fort
Collins License #� Supervisor Cent #
Mailing Address Zqw ���Qlej b' • City A 4: /7 State �Q_ Zip
LEGAL INFO:
i
Subdivision/PUD L`7��J�r/„e�L� Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq Ft # of Stories
151 Floor Sq Ft
Total Garage Sq Ft
Bldg Height # Dwelling Units
3" Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft % # of Bedrooms -0# of Full Baths '/< Baths _�/P/2 Baths A
# of Fireplaces
Air Conditioning Yes No Energy info:( Circle appropriate choice) 1. ComCheck 2. Re heck 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:
2nd Floor Sq Ft
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
W I CD && (�-
Value of Construction (including labor, material &profit) $ � � _ �li/) z
Description of Work:
Contact Name 8 Phone # of JOBSITE SUPERVISOR: / / 0 �v �' G Ux
Subcontractor Info:: /j/f
Electrical +�-�H��/i Mechanical 6�,��f �6/,� t =f rL ytJ�l /�//_Plumbing �T�� // x'/
Framer �'k /x!/ Roofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby acknowledge that I have rea this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort iRs ordi nd stat aws regulating building construction.
Applicant Signatulre- / Lek Print Name Lc Vre 10(D ✓ LU 0
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THUS APPLUCATUOM IEXPORES 180 DAYS FROM APPLODAVOON DATE