HomeMy WebLinkAbout1725 Tanglewood Dr - Applications/Basement Finish - 05/22/2014City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
ForrCollins ollins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER T I L4 OZL49O APPLICATION DATE Q 221 ZL� i 1
Job Site Address I Z 5 T" ttLJD C)r . Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last name " r t First Name �r 10" / 1 Middle IZ
Street Address I12S `�ataMa�e. l Vi• City VI -NA `c�`t �S State Zio 80S7.s
CONTRACTOR INFO: Company Name { C V' ` Owv Lo 1 Contractor Phone #
Lie Holder Name City of Fort Collins License # Supervisor Cart #
Mailing
LEGAL INFO:
City
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 st Floor Sq Ft
Finished Bsmt Sq Ft 500
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths Y2 Baths # of Fireplaces
Air Conditioning: Yes 0 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 # List appropriate option #s
UTILITIES INFO:
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
Value of Construction (including labor, material & profit) $ - �&c
Description of Work:
314 6&-tt-
0
W&ll
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical ?"tCA4, Mechanical
Framer Roofing
Solar Other
Concrete
Other
❑ 150 Amp or Less ❑ 200 Amp ❑ Other
%WV -
-215-02oZ
C��l�" Yluw•be„r�
Plumbing �Iq� % a -
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 Fort Collins ordinances and state laws regulating building construction.
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Applicant Signature_ Print Name 16 f` `-'�r�s Phone -1 ` Z 1 5 -aZoZ
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE