HomeMy WebLinkAbout3233 Chase Dr - Applications/Basement Finish - 03/09/2012City of
Fort Collins
APPLICATION
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION DATE { ~ I �+
Job Site Address3233 Chase Drive Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #970-581 -31 1 7
Last name Gustafson First Name Kyle Middle.A
Street Address 3233 Chase Drive
CONTRACTOR INFO: Company Name Self
Lic Holder Name
Mailing Address
LEGAL INFO:
Fort Collins stateCO Zip80525
Contractor Phone #970-581-3117
City of Fort Collins License # Supervisor Cart #
Subdivision/PUD19976 - Rigden Farms Filing#6th
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2730
State Zip
Lot #338 Block # Lot Sq Ft21,761
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories 2 Bldg Height # Dwelling Units 1
1s' Floor Sq Ft
2nd Floor Sq Ft 3rd Floor Sq Ft
Unfiished Bsmt Sq Ft 1301
Finished Bsmt Sq Ft 0 # of Bedrooms 5 # of Full Baths 2 3/< Baths 1 Y2 Baths 0 # of Fireplaces
Air Conditioning: YerNon Energy info: ( Circle appropriate choice ) 1. ComCheck 11 2. ResCheck w/Air Sealing 11.
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
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ❑Noll Temp. Pedestal Yes[] No
Type of Heat: DGas ❑Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 2,137.55 via Homedepot quote to finish 1544 I V . I Q .
Description of Work:
Basement finis
Contact Name & Phone # of JOBSITE SUPERVISOR: Kyle Gustafson 970-581-3117
Subcontractor Info:
Electrical Self
Framer Self Roofing
Solar Other
Mechanical Self
Concrete
Other
Plumbing Covenant 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 (Fort Collins ordinances and st�laws-regulating building construction.
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Applicant Signature801.1 Print Gustafson Phone97O-581-3117
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Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE