HomeMy WebLinkAbout712 Morsman Dr - Applications/Basement Finish - 09/15/2005BUILDING PERMITS & INSPECTIONS DIVISION
` P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building S• com1/ruilding
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER Ll APPLICATION DATE f �elly
job site AaareSS k I .L I I VY ►YJr.,ytzt- Unit #
PROPERTY OWNER INFO: (All owner information is required — it is notoptional)Phone #
Last Name E4P ti�MG�_ First Name d 1 ` Middle .
Street Address Z t 1`ems d� �Vr %y City �� ��li� I&A9, Statet-Z Zip
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address
LEGAL INFO:
Subdivision/PUD
City
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comml Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
State Zip
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Full Baths % Baths 'Y2 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
List appropriate option
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) $ j ` Uu M)Lje,
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete Other
Applicant: 1 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 an" of Fort Coll' dinances and state laws regulating building construction. / /J
Applicant Signa re Print Nam '�i \ �' ��1� hone9�''6�( �1 �2.
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION AT�2/7��