HomeMy WebLinkAbout514 E Elizabeth St - Applications/Basement Finish - 04/05/2010City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 8100131, APPLICATION DATE 4 5—` O
Job Site Address 51'4:E EL'IZABETH:St� Unit #
PROPERTY OWNER INFO: (All owner Information is required — it is not optional) Phone #
Last name KARUZAS First Name James Middle A
Street Address 514 E Elizabeth st city Fort Collins State CO Zip80524-3804
CONTRACTOR INFO: Company Name Contractor Phone #
Lic Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUDGlover's Subdivision of Block 169 Filing# Lot#24 Block# 1fi9 Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
111 Floor Sq Ft 21 Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft nn # of Bedrooms # of Full Baths % Baths 1/2Baths # of Fireplaces
Air Conditioning: Yes]NoEnergy info:( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResChedk w/Blower Door 4. Simulated Performance Alternative❑ 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: YesalloE1 Temp. Pedestal Yes❑ No ❑
Type of Heat: Z Gas Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less1:1 200 Amp 00ther
Value of Construction (including labor, material & profit) $ 5,840.00
Description of Work:
Remodel existing basement bathroom.
Contact Name & Phone # of JOBSITE SUPERVISOR: Owner
Subcontractor Info:
Electrical
Yoder Electrical Services ( Mechanical Plumbing
ME-1006) Covenant Plumbing & Heat (MP-622)
Framer Craftwork Carpentry 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
contained herein and City of Fort Collins ordina a and state laws regulating building construction.
Applicant Signatur' e cw-A/ Print Name James A Karuzas Phone 970-221-3775
Distribution: • White —Office Yellow — Applicant Pink —V4 Ml/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE