HomeMy WebLinkAbout5806 Auburn Dr - Applications/Basement Finish - 12/01/2011`o�r
of
Ft` Collins
APPLICATION
Job Site Address
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
UILDING PERMIT APPLICATION
41
APPLICATION
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Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
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Last name E Y\ First Name I I _ Middle
Street Address J 6 &- Vrm P'r— City r A ii., S State 6�1 Zip
CONTRACTOR INFO: Company Name �/ �1/CTID+ '-` &ontractor Phone # 9V S `7 m—
Lic Holder Name W J 6., IJ el G��S City of Fort Collins License # Supervisor Cert #
Mailing Address ��) ! k' j t"A-Ll O City R 64k f State LQ Zip
LEGAL INFO: J
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] Sq Ft # of Stories Bldg Height # Dwelling Units _
1 s' Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft _
Finished Bsmt Sq Ft 60 # of Bedrooms # of Full Baths I % Baths '/2 Baths # of Fireplaces
Air Conditioning: &
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
Water Tap Size �_ Sewer Tap Size Metered( es 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'"
Contact Name & Phone # of JOBSITE SUPERVISOR:
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Subcontractor Info:
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Electrical ,e Mechanical I' Plumbing '^ U �lkllj
Framer Roofing Concrete Fireplace
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Solar
Other
Other
Other
Applicant: I hereby acknowledge that I e read s application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort ins i c and state laws regulating building construction. Applicant Signature Print Name A ` !' ✓— Phone �2—Y4jT7u-r
istribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE