HomeMy WebLinkAbout3018 Garrett Dr - Applications/Basement Finish - 01/06/2014��Citt���y}of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�;of ` Collins, 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ www fcgoKconVbuilding
(BUI�A PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE AA - n I o . 2O 1:1 .
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not o tional) Phone # a— 3- 1 C) _ T J tp
Last name �?� � First Name Middle `eGL t(1
Street Address (,�� �� �� City 7'oc-( State Zip b�a
CONTRACTOR INFO: Company Name
Lic Holder Name
Contractor Phone
City of Fort Collins License # Supervisor Cert #.
Mailing Address City State
LEGAL INFO: �y / .
Subdivision/PUD QU4/ [ qV //ON) Filing # ✓ Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'1 Sq Ft # of Stories Bldg Height # Dwelling Units
18' Floor Sq Ft
20d Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft I I �> S F,
Finished Bsmt Sq Ft _ 111 # of Bedrooms 2- # of Full Baths 61 '/4 Baths �_ '/: Baths 0- # of Fireplaces
Air Conditioning: YeGo0 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 EINo❑ Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas1-1 Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp DOther
profit)Value of Construction (including labor, material &
Description of Work: T:i Aj I C'R -M I Mo I I) r,>r—,: G"q)1>4' —314 1z:'&Vjg0r)W 2- t>f_='pgQ0LA
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
I - I_. in
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Fireplace
Solar _ Other -Other 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 F rt C Ilms ordinances td state laws regulating building construction. `\
Applicant Signature� Print Nam eC��_ Phone ' -v
Distribution: Vllhite—Office Yellow —Applicant Pink —VWWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE