HomeMy WebLinkAbout5006 Redbud Ct - Applications/Basement Finish - 06/09/2010City of
II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N College Ave Fort Collins CO 80522 0580 Phone 970 221 6760
www fcgov com/budding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER U O -, 3 553 APPLICATION DATE l e1!i/ 10
Job Site Add
Unit #
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # 13�() ` Zz5 - V 156
Last name S GAY' � 11 First Name �r D rt Middle
Street Address So o � �¢d 'k jcr 1 City 54 tl,, �,, �I I S State ( Zip 5 Z
CONTRACTOR INFO Company Name tau r f' LA t\!� (ZTir T_.r4 L Contractor Phone #
Lic Holder Name & 1 r,, L T City of Fort CollinsLicense # D -410 Supervisor Cert #
Mailing Address SCZ<, LT City` �1'tr5 State CO Zip _
LEGALINFO G
Subdivision/PUD C) A^\\ f 19 Filing # OTM Lot # ��
//�� Block # Lot Sq Ft
14
CONSTRUCTION INFO Total Building Sq Ft ( t I d g b eme t) Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft # of Stones Bldg Height # Dwelling Units
1 Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3 Floor Sq Ft
Unfiished Bsmt 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 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
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 8 profit) $ IQ W / -tC )
Description of Work ` 1 h'S� LI t_4 5f r7 l r kSt T mac.
LL V) /
Contact Name 8 Phone # of JOBSITE SUPERVISOR
Subcontractor Info 'Cl {
Electrical ak t la (� - 411L,4JI - Mechanical
Framer Roofing
Solar
Other
Concrete
Other
- 412 S4 1
Plumbing 64c, , W
Fireplace
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 building construction
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Applicant Signature PnntName Wtr� � LOA Phoneq��'// Z�5y1�_
Distribution White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE