HomeMy WebLinkAbout749 Bear Creek Dr - Applications/Basement Finish - 12/24/2013City of
�,.F�ort Collins
APPLICATION
�b Site Address,
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION c�-I
W
I_ (All owner information is required — it is not
7 , e
G t� First Name A
CONTRACTOR INFO: Company Name 5264e.' o4
Lic Holder Name
APPLICATION DATE I a r a 7 /-3
Unit #
(Phone # 7 • 0'/�s
Middle .T
City StatreC4' Zip Q�
Contractor Phone #
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
S
Total Building Sq Ft (not including
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft \Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft 2RUloor Sq Ft
)kinished Bsmt Sq Ft 3 V.3 # of Be oom,
iiI
Air Conditioning: Yes Vo Energy in
3. ResCheck w/Blower Door 4. Simulated Pe
City of Fort Collins Stock Plan #
UTILITIES INFO:
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Full Baths I -/. Baths % Baths # of Fireplaces
( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
mace Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
appropriate option
Water Tap Size Sewer Tap Size N
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size
Value of Construction (including labor, material & profit) $
-xDescription of Work:
Yes or No Temp. Pedestal Yes or No
only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Contact Name & Phone # of JOBSITE SUPERVISOR: 0��7 �Il s l ��. 2-1? je/!os
Subcontractor Info:
electrical
Mechanical
Plumbing
Framer Roofing Concrete 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 lily!7 Collins ordise nd state aws regulating building construction.
py
pplicant Signature Print Name Phone 9%r/
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE