Loading...
HomeMy WebLinkAbout114 Sylvan Ct - Applications/Basement Finish - 09/09/2010City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N College Ave Fort Collins, CO 80522 0580 Phone 970 221 6760 www fcgov coin/building BUILDING PERMIT APPLICATION APPLICATION NUMBER iW57I3 APPLICATION DATE of r tv! Job Site Address 1 Unit # PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # M - M//- 94 Last name m o+e. First Name J u I l e, Middle C1 Iz I fD Street Address M SyIv►an Couy-+ City F LOIII11 S State 0-0 Zip 054)1 CONTRACTOR INFO Company Name Lic Holder Name Mailing Add Contractor Phone # City of Fort Collins License # City Supervisor Cert #. State Zip LEGAL INFO C Subdivision/PUD JVI�/�n eQ Filing # Lot #16A 1-7 Block # Lot Sq Ft 50-No CONSTRUCTION INFO Total Building Sq Ft (not including basement) 74 0 Total Garage Sq Ft Residential Sq Ft Comm I Sq Ft # of Stories Bldg Height # Dwelling Units 1 ' Floor Sq Ft 74 b 2 d Floor Sq Ft 31"Floor Sq Ft Unfiished Bsmt Sq Ft 5157 Finished Bsmt Sq Ft # of Bedrooms 12 # of Full Baths 3/. Baths '/2 Baths # of Fireplaces Air Conditioning Yes ©o 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 #s Water Tap Size -11 r \ Sewer Tap Size 4 I A Metered (9 or No Temp Pedestal Yes or 0 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) $ ,7E)=.-DO / t4p;? (M Description of Contact Name & Phone # of JOBSITE SUPERVISOR -31 1 1. 1 " \ 4e, Subcontractor Info Electrical Mechanical Plumbing Framer Roofing Concrete Fireplace Solar Other Other Other Applicant I hereby ckjal 1 ha re dlthis application and state that the above information is correct and agree to comply with all requirements contained herein d Cordi n �s an ate laws regulating building construction {/� Applicant Sign ture Print Name t J(.l I e rn 0 le- Phone Distribution White -Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE