HomeMy WebLinkAbout1208 Crestway Ct - Applications/Basement Finish - 06/29/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE 62 —z to
Job Site Address 0, .Unit #
PROPERTY OWNER I'NFFO: (All owner information is required - it is not/Optional) Phone # 65t) --
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Last Name 1 ?>� �n First Name �* Middle
Street Address ZO$ �t>✓S' C�� ��, City Cp l t y\S State C-0 ZiPS; Z (c
CONTRACTOR INFO_�n+
: _� Company Name .�-uldlp nvt&ntractor Phone # ZgZ--�C�C;�
Lic. Holder Name�C ,t����Ag City of Fort Collins License # ,` Z-�� Supervisor Cert # ISl Q,
Mailing Address 94gbe0-r—CVee�C— Lo,�_ City 1�C -��� ��S State G Zip 'Z0-VZL
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft # of Stories
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Block # Lot Sq
Total Garage Sq Ft
Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft_ Finished Bsmt Sq Ft 'Z%
# of Full Baths % Baths '/2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option
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) $ '3 1 �o � r
Description of Work: �e- d U. )/t 0 SC+ 3-1+ � J7T j
Contact Name & Phone # of JOBSITE SUPERVISOR: �JO
Subcontractor Info:
Info:
Electrical l�tov le e—r— Mechanical NA-04 Plumbing
Framer
ME
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 zmma-� Print Name -� �o-�-e C" Phone Z �Z—�o0O
Dis rib ion: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Roofing
Concrete