HomeMy WebLinkAbout1731 Trailwood Dr - Applications/Basement Finish - 04/07/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBERZI —T- J 7-7-
APPLICATION DATE
Job Site Address LIV /— a Unit #
PROPERTY OWNER INFO: (All owner information is required - it Is not optional) Phone #
Last name W �� &A A AJ First Name f t A6 0A% Middle
Street Address 2 A sLwcx-x� On City r&x-r C-OLc.P,,s State C-Zip ?DSZ.s`
�j CONTRACTOR INFO: Company Name 4dAjgAjoW j Contractor Phone # 1A Aj e-AJD.Jn!
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Lic Holder Name
City of Fort Collins License # Supervisor Cert # —^
Mailing Address City
LEGAL INFO:
State '-' Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 51 Floor Sq Ft
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft (oS2 # of Bedrooms # of Full Baths Y. Baths Y. Baths # of Fireplaces
Air Conditioning: YesRNo Energy Info: ( Circle appropriate choice) 1. ComCheck s 2. ResCheck w/Air Sealing s
3. ResCheck w/Blower Door 4. Simulated Performance Alternatives S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doo
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes QNos Temp. Pedestal Yes❑ No
Type of Heat: s Gas ❑Electric Electric Main Breaker SQ1
Size (Residential only) 50 Amp or Less s 200 Amp DOther
Value of Construction (including labor, material & profit) $_/gT/'—gr � 2 .
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: AA t,J q7n
Subcontractor Info: (AN"0t,J v)
Electrical Mechanical
Framer
Solar
Roofing
Other
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/Foo Collins ordinancgd and state laws regulating building construction. /
Applicant Signature_ _ //�.�s rj �(�/' Print Name ffArto•J b� &AA J Phone - 3q 4 `IG.O
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
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Address:
Date: `t
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unity Planning and Environmental Services
3uilding and Zoning Department
PERMIT AND INSPECTION REQUEST FL
EXISTING NON-STRUCTURAL CONSTRUCTION
Please print or type
TVaj I N ocof
as owner(s) of
record of the above property, hereby request a permit for and final inspection of the
installation or construction work described in the following building permit
application, which work was completed or covered without obtaining a permit and
without required inspections during construction. I/we understand and agree that
the City of Fort Collins Building & Zoning Department will perform a final inspection to
assess compliance of such work, some or all of which may be concealed by
permanent construction and finish materials, based on observable conditions and
nondestructive methods: and, that it may not be practical or possible for the City of
Fort Collins to verify full compliance with City building codes without removal of such
permanent construction and finish materials. I/we further understand that any
violations of City Codes related to health and safety associated with the above work
or installation may require correction.
Work performed by: rXn0WV1
Name Address
Date work performed: to- �5- a00
v
(Signature) Date
Date
(Signature)
For office use only:
Permit/Appli.cation Number
Date applied:
Date
281 North College Avenue • P.O. Box 580 o Fort Collins, CO 80522-0580 • (970) 221-6760 o FAX (970) 224-6134