HomeMy WebLinkAbout618 Sydney Dr - Applications/Basement Finish - 03/25/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER e? I10 1185 APPLICATION DATE j' C,�5- 11
Job Site Address �O 1� ✓ Unit #
yrPROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # G � PZ j 7 L�f -/
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Last named c- & First Name r... l Middle �6�e 4_._ pa
Street Address h Cittffl r c f State �C� Zip a
CONTRACTOR INFO: Company Nam Contractor Phone #
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
City of Fort Collins License #
City.
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement
Residential Sq Ft Comm'] Sq
15t Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height
3rd Floor Sq Ft
# of Bedrooms # of Full Baths % Baths
Supervisor Cert #
State Zip
Block # Lot Sq Ft
_ Total Garage Sq Ft
# Dwelling Units
Unfiished Bsmt Sq Ft
'/2 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:
Water Tap Size Sewer Tap Size
List appropriate option #s
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) $ 3 190
Description of Work: F, Vt r j l� Ydo�- ---
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge that I have read his application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit Col in ordina s an tatee laws regulating building construction.
'Applicant Signature Print Name i�Ya e� S. Phone
D/ tribution: Whi �e— Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE