HomeMy WebLinkAbout5701 Sandbar Ct - Applications/Basement Finish - 05/27/2009BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.conVbuilding
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER®��a q`f' APPLICATION DATE ! L
Job Site Address G�OI S a�n>��aca _ 0xc-j?.� F(%, On MS2� Unit #
PROPERTY OWNER INFO: (All owner information is required - it is notoptional)Phone #
Last Name ( CjNA First Name f,644 Middle
Street Address �Anlp �� `I.]Q-(— City rnllt`NS State
�Zip C�� Z
CONTRACTOR INFO: Companv Name (�)�Q� MCI Stl� Contractor Phone # 4(;M - %ZZ
Lic. Holder Name N 1 (-N- City of Fort Collins License # Supervisor Cert #
Mailing Address,
City
State Zip
LEGAL INFO:
Subdivision/PUD ,1'OLA SDE'S Filing #�_ Lot # Q Block # Lot Sq Ft S�d
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) z � Total Garage Sq Ft lei -Inc)
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
2nd Floor Sq Ft
# of Bedrooms C) # of Full Baths d
Unfinished Bsmt Sq FtFinished Bsmt Sq Ft
% Baths CU '/2 Baths I # of Fireplaces
Air Conditioning: kYes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
I� ?
Water Tap Size ) Sewer Tap Size Metere0Yesor No Temp. Pedestal: Yes or No
Type of Heat: Xas ❑ Electric Electric Main Breaker Size (Residential only):>(11150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, `material & profit) $_ `� I QI , q 3
Description of Work:-•�N:SA-L-"C 1 . - P,-) C
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
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Q�,:N_0N
A� YC "lim
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Electrical iek jAttjv' Mechanical Plumbing ,lpa).d �O►1°`rSy�
Framer r
j,tOC6 C Roofing �' a. Concrete 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 rd ances a tate ws regulating building construction. LOIJA
nApplicant Signature;�Z Print Name Phone *)l Z�
VIS
bution: Whit Office Yellow — Applicant Pink — WWW/Stormwater
TPPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE