HomeMy WebLinkAbout2404 Stanford Rd - Applications/Basement Finish - 07/12/2011%►a`yva V6JIYIIYIVIVI 1 Y 6JCQlCIo.VilYlClm 1 Oc IMG167i1�VQCI�VVIJ a�Gl�!/I�oGa�
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER_ 1Z LJ 3 �"7 APPLICATION DATE
Job Site Address Z'-(6-\ 5j qA)Fblib j ,%, 605Z Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # ! 70 " Z 1 Z - q6 6 7
Last name C� 1S?+� � First Name `DA/J/EL Middle P.
Street Address 12 ? N': LLU& A 0 . Zc0 City/FC7— ��lZi,✓S State Co Zip lDrz
CONTRACTOR INFO: Company Name A? Co,-) S7iLUCTVx,-5 c.LC Contractor Phone* %70 - �3L - 72-ZS-
Lic Holder Name it AST I A/0 City of Fort Collins License # Supervisor Cert #
Mailing Address yg7b �, Lemtj-Y ::a- *0 City State Ca Zip C OS Z---
LEGAL INFO: �g Subdivision/PUD _ &,, Tti Q1,Lt�<-C ff�IG y�S Filing # Lot # l Block # 7 Lot Sq Ft U -3
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
15t Floor Sq Ft' 2"d Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/ Baths '/ Baths # of Fireplaces
Air Conditioning: YeGon Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 11 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: Yes ❑NTI Temp. Pedestal Yes No
Type of Heat: F1 Gas Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less 11 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 7
Description of Work: 40 6srxETt c- 9-ern6AE c.F 14LRC-4A� F1e2ts MED P4SEmc-N7_ _ /t'ii�✓o� L ��ia��,i/G
(y 3��/'/-SS l.�/sVDr3v✓f /c'�S7A LG/� �`!V }�9 /i�cCn/J C�NG
70I LE--r tZ F'Lrl( 9—TZ061 UP ST BLS .
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Ikt Lu)At,3 (4UlAMf \Mechanical Plumbing 'l Vlln1 91-rF_fh4,5 (EVA,J,S ruj'. A
LiCTlzl(� Kd-L•i64Ti&A& IAX
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
contained herein and City of Fort Collins ordinances and state aws regulating building construction. q7
Applicant Signat (I Print Name sit(_ t J21$1fF��/ Phone {lr7-Z l2- i( -7
Distribution: White - Office Yellow - Applicant Pink - WWVV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE