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HomeMy WebLinkAbout725 Great Plains Ct - Applications/Basement Finish - 03/05/2012CityofCOMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES FoC r ` Collinsll281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building j 2 (BUILDING PERMIT APPLICATION APPLICATION NUMBER_ i ©l O J 1 APPLICATION DATE Job Site Address "'7 Q47 K,,) /j514 �lc, �, S 1 Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Last name " 4 �c'LCr✓ First Name " C,N t to / Middle �t}jf Street Address c) ( f�� nP(4 L'41-0 �1 City I r� f T (C60rh�' State�Zip 46 CONTRACTOR INFO: Company Name / 777 C D�IS`&14 GH Contractor Phone # 97D - W -1 s-Z,, % Lic Holder Name City of Fort Collins License # Supervisor Cert # Mailing Addres LEGAL INFO: City State 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 1st Floor Sq Ft 2nd Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/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 # List appropriate option UTILITIES INFO: Water Tap Size Sewer Tap Size Metered: Yes or No Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) Value of Construction (including labor, material & profit) Description of Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical Concrete Other Temp. Pedestal Yes or No ❑ 150 Amp or Less ❑ 200 Amp ❑ Other n — XA 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 state laws regulating building construction. Applicant Signature Print Name Phone Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE