HomeMy WebLinkAbout1403 Catalpa Ct - Applications/Addition or Alteration - 10/11/2013City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER kJI�/7W APPLICATION DATE October 1 1, 2013
Job Site Address 1403 Catalpa Ct. Ft. Collins, CO 80521
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone
Last name Bollacker First Name Kathy & Paul
Unit #
970-412-3112
Middle
Street Address 1403 Catalpa Ct City Ft Collins State CO zlp 80521
CONTRACTOR INFO: Company Name buildSMART Contractor Phone # 970-308-1525
Lic Holder Name Anthony Baietti
City of Fort Collins License # D-691 Supervisor Cent # 2846-D1
Mailing Address 1414 Catalpa Ct City Ft C011inS State Co Zip 80521
LEGAL INFO:
Subdivision/PUDThe Ponds
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 # Dwelling Units
1� Floor Sq Ft
2n° Floor Sq Ft
3� Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 144 # of Bedrooms ' # of Full Baths % Baths '/ Baths # of Fireplaces
Air Conditioning: YerNon Energy info:( Circle appropriate choice) 1. ComCheck 2. ResC heck w/Air Sealing 11
3. ResCheck wBlower Door ❑4. Simulated Performance Alternatives 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ONE] Temp. Pedestal Yes❑ No 0
Type of Heat: Gas ❑Electric Electric Main Breaker Size (Residential only) El50 Amp or Less ❑ 200 Amp 00ther
Value of Construction (including labor, material & profit) $ t DOD
Description of Work:
Basement bar construction
Contact Name & Phone # of JOBSITE SUPERVISOR: Nino 308-1526
Subcontractor Info:
Electrical Action Electric Mechanical
Framer
Solar
Roofing Concrete
Other Other
Plumbing IPS
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 Anthony Baietti Phone 308-1525
Distribution: White —Office Yellow —Applicant Pink —W WV/Stormwater
THIS AIPIPLUCATOOM IEXPORIES 180 DAYS [FROM AP(PLUCATOOM DATE