HomeMy WebLinkAbout5609 Cardinal Flower Ct - Applications/Basement Finish - 12/02/2013City of
I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER �i . V Z� APPLICATION DATE D - 02 . Zb I S .
Job Site Address SLbM Ccky?7V a1 �'lcwc ,� C rG Unit #
PROPERTY OWNER INFO: (All owner information is required- it is not
optional) Phone #
Last name Wo lccy _ n First Name s t �--n� q �L—oye-t Middle / Cc�(��
Street Address sLicq coyr ,�Q1 FA0C ft C+City 1�1 -00 U i�S State6J cZlipgop
CONTRACTOR INFO: Company Name �� Y ntractofr Phone
,* /Q ®' `tQ U<l t
Lic Holder Name City of Fort Collins License # 1j4ce I Supervisor Cert #�3 - D I
Mailing Address 22 l5 tom—j�xz--]/ Cit h C)S State C-0 Zip
LEGAL INFO:
Subdivision/PUD
Filing # Lot #_
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft # of Stories
'Is' Floor Sq Ft
Block # Lot Sq Ft
Total Garage Sq Ft
Bldg Height # Dwelling Units
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 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 # List appropriate option #s
UTILITIES INFO:
20d Floor Sq Ft 3rd Floor Sq Ft
I
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) $ 2-1, tl 3 . 9 a
Description of Work: 5 �e Y1`� j `rl �� ()c
Contact Name & Phone # of JOBSITE SUPERVISOR: 6 1v-� 10 f t `��
Subcontra/c'ttor Info:
Electrical Mechanical 6 "� -`� t /Plumbing
F-ir-dm', +�
Framer r��j}zNS Roofing ��� Concrete Ile —
Fireplace
Solar N Other QA Other Other
Applicant: I hereby ackn edge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit C li ordi nc and state laws regulating building construction.
Applicant Signature Print Name Phone 252—' 1�
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLUCATUON IEXPURES 180 DAYS FROM APPILUCATOON DATE