HomeMy WebLinkAbout940 Snowy Plain Rd - Applications/Basement Finish - 03/26/2010City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N College Ave Fort Collins CO 80522 0580 Phone 970 221 6760
www fcgov cam/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER N ob \ S58 APPLICATION DATE �_�D I C)
Job Site Address o sno Paul ?e>Q7' Unit #
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # 970- 797 226 1
Last name / R9CJ� First Name 47/aeo-7' Middle /%l"+
Street Address %%t� �SnD,wv PAPir7 Road _ -� CityFa,-f &//ins State CO Zip NW175-
CONTRACTOR INFO Company Name 6 /,Jerl P/, //jo ri W7/ Contractor Phone #
Lic Holder Name City of Fort Collins License #
Mailing Address_
LEGAL INFO
Subdivision/PUD
City.
State
Supervisor Cert #.
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft ( t I d g b me
Residential Sq Ft Comm I Sq
Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
2 Floor Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths / Baths / Baths # of Fireplaces
Energy info ( Circle appropriate choice ) 1 ComCheck 2 ResCheck w/Air Sealing
4 Simulated Performance Alternative 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)
Description of Work Par-ia/ 6asPmej71''�n fi 6Qiii/�om. /YCIYQr/Lv7 /'4Yr)
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
r
Electrical 6dS 61et4l& Mechanical 9/JUer /4&10I7/GQ/ Plumbing tTkj l n-l-le
Framer Roofing Concrete Fireplace
Solar
Other
Other 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
conta ned herein and City of Fort Collins ordinances
-and
state laws regulating building construction
Applicant Signature Print Name Cyil�Yj f /71i /�i p !Q Phone 17"0 7l`'7-? 26 /
Distribution White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE