HomeMy WebLinkAbout1833 Golden Willow Ct - Applications/Basement Finish - 06/15/2009BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
(Aqm�ftm- www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER V , APPLICATION DATE_ t� 0 /
Job Site Address 1933 Go. a ,�, wic� cv C7- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) //�� Phone # l 9�0� ZZ.S-bS3Z
Last Name /07-E)n f /COiine—x First Name BRE/tJ: C itr�s -7 Middle
Street Address /b' 33 GO [_AEn[ ii c [ n , CT City I 6t t- i.. n ' State CC) Zip 6 r j-'QV
CONTRACTOR INFO: Company Name /J7Z7-a7C ay;, r Z 43-/4rvContractor Phone # y70 In YO - /,S} S-
Lic. Holder Name j/ CvSn-X City of Fort Collins License # 02-2-�/ Supervisor Carl # //8
Mailing Address to/Ob' LVAJF?C n4.j LJf City 14CT (L'c' . s State C0 Zip kP.SZj
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft
Comm'I Sq Ft
# of Stories Bldg Height
# Dwelling Units
ls' Floor Sq Ft
2nd Floor Sq Ft
Unfinished Bsmt Sq Ft
Finished Bsmt Sq Ft (T � "
# of Bedrooms
# of Full Baths
3/4 Baths % 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. 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:
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)
Description of Work: RASOX9EA-4- �,n/ SH A/[i�ck �s'tz�� %rcF �„s�sifc�n $i4tni�E„iT
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: n%
Electrical /ii ,4,e Mechanical Plumbing
Framer
Roofing
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 ordinances and state laws regulating building construction.
Applicant Signature y Print Name /Tr7+7-y L {ems irX Phone 1� %o / $-:�?
Distribution: White -Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE