HomeMy WebLinkAbout1918 Ridgewood Rd - Applications/Basement Finish - 11/30/2009BUILDING PERMITS & INSPECTIONS DIVISION
PO Box 580 Fort Collins CO 80522-0580 Phone 2216760
(=6� www fcgov com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER �_ZO qO _? APPLICATION DATE / ` 3 0 —09
Job Site Address I q I V "a , JW10d I, Unit #
PROPERTY OWNER INFO (All owner information is required — it is not optional) Phone # q7j'
Last Name First Name Middle S
Street Address /, �,� C�i K�� Cityo State Zip�
CONTRACTOR INFO Company Name a 3AUctor Phone #
Lie Holder Name V—'ULV,5 City of Fort Collins License # Supervisor Cert #
Mailing Address
City
LEGAL INFO /� 2
Subdivision/PUD / d iJ Filing #.
CONSTRUCTION INFO Total Building Sq Ft (not including basement)
State Zip
Lot # Block #.
Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft # of Stones A Bldg Height # Dwelling Units
1st Floor Sq Ft 2 d Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths _� % Baths 'Y2 Baths # of Fireplaces
Air Conditioning be
No Energy info (Circle appropnate 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
UTILITIES INFO
Water Tap Size Sewer Tap Size Metered Yes or No Temp Pedestal Yes or No
Type of Heat KGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor material & profit) $ !�,Q
Description of Work
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Framer Roofing Concrete Other
Applicant I hereby acknowledge that I have read this application and state that the above information is correct and agree tq co ly w th all req*ISO
contained herein and City cy Foq,�ollins ordinances and state laws regulating building construction
I'
Applicant Signature Print Name 14WI qj4Phone 10 1 r41
Distribution White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE