HomeMy WebLinkAbout403 Strasburg Dr - Applications/Basement Finish - 07/22/2010City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N College Ave • Fort Collins, CO 80524 Phone 970-416-2740
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BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 1 I c 1 `a APPLICATION DATE 7/
Job Site Address 403 Strasburg Dr Unit #
PROPERTY OWNER INFO (All owner Information Is required- it is not optional) Phone # 970 377-2265
Last name Roberts First Name Roy Middle D
Street Address 403 Strasburg Dr C,tv Fort Collins State CO ZIP80525
CONTRACTOR INFO Company Name Home Owner Contractor Phone # 970 377-2265
Lic Holder Name Roy Roberts City of Fort Collins License # Supervisor Cert #
Mailing Address 403 Strasburg Dr City Fort Collins State CO Zip 80525
Subdivision/PUD Ridgewood Hills PUD Filing # 2 Lot # 121 Block # Lot Sq Ft 8600
CONSTRUCTION INFO Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm 1 Sq Ft # of Stones Bldg Height # Dwelling Units
1" Floor Sq Ft
2n° Floor Sq Ft
3'" Floor Sq Ft Unfushed Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/4 Baths '% Baths # of Fireplaces
Air Conditioning Ye�]Non Energy info ( Circle appropnate choice ) 1 ComCheck ❑ 2 ResCheck w/Air Sealing 11
3 ResCheck w/Blower Door ❑ 4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing11 6 Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
UTILITIES INFO
List appropriate option #s
Water Tap Size Sewer Tap Size Metered Yes wINoo Temp Pedestal Yes❑ No
Type of Heat a Gas1-1 Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less a 200 Amp 0Other
Value of Construction (including labor material & profit) $
Description of Work
Recreation Room Electric to existing basement electric Box 2 electric outlets GFI 15 amp 5 electric outlets 20 amp
Contact Name & Phone # of JOBSITE SUPERVISOR Roy Roberts 970 377 2265
Subcontractor Info
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
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 o inance and state laws regulating building construction
Applicant Signature Collinsjxf 611 .Zy Print Name Roy D Roberts Phone 970 377-2265
Distribution White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE