HomeMy WebLinkAbout403 Strasburg Dr - Applications/Basement Finish - 02/01/2010BUILDING PERMITS & INSPECTIONS DIVISION
- P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
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_ www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER Z—?f (�APPLICATION DATE ✓ / /v
Job Site Address Jlo 2 Sfy as 6 kvg Vk Unit #
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone # 470 377-A2 6.i
nti Last Name 1� o e r / f / First Name leisoy � Middle., D
Street Address 4/o�*z 57 t-a bu rg J7 City r'drL y Col/Las State e16 Zip So5�25_
CONTRACTOR INFO: Company Name %foA,e 0 am ev' Contractor Phone # 970 477 -.22655
Lic. Holder Name v �o�ertf City of Fort Collins License # Supervisor Cert #
Mailing Address 5/D 3 S7tYas bxr4 .Dr- City t'ov/�rt
t 1. efjjt5 State CO Zip
LEGALINFO: n n
Subdivision/PUD Filing # Lot Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'[ Sq Ft # of Stories Bldg Height # Dwelling Units��//--�//yam�y
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsnrt Sq Ft
# of Bedrooms # of Full Baths % 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 wBlower 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) $_ q ;L 1 /
Contact Name '& Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
4-, 97a 377 az6
Plumbing
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 budding constriction. �—
Applicant Signature Z i' UT�� Print Name-vv D cbe✓t f Phone ?Z9 .37T A2i�
l3istributlon: White - Office Yellow -Applicant Pink - VWVW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE