HomeMy WebLinkAbout5926 Snowy Plover Ct - Applications/Basement Finish - 10/28/2011COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
APPLICATION NU
Job Site Addres
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION
Unit #
PROPERTY OWN911 INFO: (All owner information is required - it is not optional) Phone # / 70 Z/S- Y/f7
Last name Uoe k f- First Name 1q,GG/ Middle A
Street Address S % j 6 Sn ei,.e ?Luc-r /� City J-C State zip r c &
CONTRACTOR INFO: Company Name A;L Al d U_tvi Slr• Contractor Phone #- Z a /Zo-)
Lic Holder Name City of Fort Collins License # 6 yj z Supervisor Cert #
Mailing
City
State Zip
LEGAL INFO: //�7
Subdivision/PUD /--� -S r! / LSzk (-K—A Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ,27W Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft
2"d Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 14W # of Bedrooms 3 # of Full Baths 2- % 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 #s
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 & profit) $ Zodw
Description of Work: &'Je'4,¢'4L �itjS4
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowle 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 ort Collins in an state laws regulating building construction. /
Applicant Signature Print Name �/4gel" hJ�/?iK e r Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE