HomeMy WebLinkAbout2826 Dixon Creek Ct - Applications/Basement Finish - 08/31/2005BUILDING PERMITS &L INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-00580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER � ,�:v-) q
C c4_ APPLICATION DATE 0 -3' 0
Job Site Address 2,92J6 rl Co r= cc 6�— Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name W,7E-T� First Name Vas(, Q-V- Middle
Street Address `J tx.D /V C-P-� C-T- City -Pr C.,DLJ--1 QS State C-0 Zip 00572"0
CONTRACTOR INFO: Company Name Ir��igL-� Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City,
LEGAL INFO:
State Zip
Subdivision/PUD QKA-I L- 99L-L-0L--) Filing # S Lot # / Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 23- 7 Q Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Z Bldg Height # Dwelling Units
1st Floor Sq Ft In 4- 2nd Floor Sq Ft / Z-Sb Unfinished Bsmt Sq Ft Wig% Finished Bsmt Sq Ft i
# of Bedrooms 4- # of Full Baths % Baths Yz Baths # of Fireplaces
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
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:4::�/ t-)I+t- hVSPEC.7-7El,&
tSff — 1llnl.0
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Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
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 ordin ces and state laws regulating building construction.
Applicant Signature Print Name �'- Phone ZZ3--335Z
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE