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HomeMy WebLinkAbout5115 Cinquefoil Ln - Applications/Basement Finish - 01/22/2014City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 wwvv fcgov conVbuilding L31q t03o 0 BUILDING PERMIT APPLICATION APPLICATION NUMBER ✓cl I Ctn Jefoi L11 APPLICATION DATE 117, y Job Site Address Unit #, PROPERTY OWNgR I IFO: (All owner Information Is required - it is not optional) Phone # l Ta " 4 16 — 2 1 d/ Last name J U l i- First Name Ar 021E4rJ Middle Street Address SIts Cl/)gJef61 L n city TO(4 C6010S State 0 Zip—&a.W CONTRACTOR INFO: Company Name / Contractor Phone # Lic Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address City State Zip Subdivision/PUD 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 1s' Floor Sq Ft 2nd Floor Sq Ft # of Stories Bldg Height # Dwelling Units 3itl Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft -jjq # of Bedrooms © # of Full Baths --L— % Baths '% Baths # of Fireplaces Air Conditioning: Ye�]No Energy Info: ( Cirde appropriate choice) 1.ComCheck11 2. ResCheck w/Air Sealing 11 3. ResCheck wBlower Door n 4. Simulated Performance Aftemative❑ S. Prescriptive w/Air Sealing S. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option #s UTILITIES INFO: Water Tap Size Sewer Tap Size Metered: Yes [—]No[] Temp. Pedestal Yes❑ No ❑ Type of Heat: MGas ❑Electric Electric Main Breaker Size (Residential only) �150 Amp or Less ❑ 200 Amp ❑Other Value of Construction (including labor, material 8 profit) $ "f 7O Description of Contact Name 8 Phone # of JOBSITE SUPERVISOR: Electrical F— AT- _LP C+rl c Mechanical Plumbing 6m iZake:;� I 1 Vlibl A19 Framer N/14- Roofing N/� Concrete N�� FireplaceH14 Solar l,.1 /14 Other Other Other Applicant: I hereby acknowledge that I have read this application and stale that the above information is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinArices and state laws regulating building construction. j �j Applicant Signature Print Name ✓)%R1/i�lV t�V Phone )4 / 2 01 17 Dis bution: White -Office Yellow -Applicant Pink -WWW/Stomiwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE