HomeMy WebLinkAbout708 Prichett Ct - Applications/Basement Finish - 05/16/2012 (2)Fort Collins
APPLICATION
Job Site
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 S W7 _/.)L�
Unit #
PROPERTY OWNER INFO: (All owner information is required- it is not optional) Phone # �'Fd"
Last name L(-f7Jc w_c _> First Name 6 42Ls Middle
Street Address Lc)f f2lL. k-tr �) �`� City Voo-T{U Ly j CS State CC zip cci0��
CONTRACTOR INFO: C mpany Name fe L`cCJ ..usL �Olo1i ( 'qL- Contractor Phone #
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Lic Holder Name �s1� V <<4.0s City of Fort
Collins License # Supervisor Cent #
Mailing Address l[.y-' O� City {tfZt t`/�S State (Q zip OS2"5
t4:1401111IT19A
Subdivision/PUD I...tC+ (-" Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not inGuding basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 s' Floor Sq Ft
2n° Floor Sq Ft
3'" Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft S�CU_ # of Bedrooms ' # of Full Baths I_ % Baths 6 '/2 Baths 0 # of Fireplaces
Air Conditioning: YeGoR 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 #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes[] NoF_1 Temp. Pedestal Yes❑ No ❑
Type of Heat: DGas1-1 Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less1:1 200 Amp DOther
Value of Construction (including labor, material & profit) $
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: os u_ C1 2 b- q A-Goq
Subcontractor Info:
Electrical oL�o
CLEW'.
Mechanical
�p xi_ �r✓s. S'
Plumbing ���
Framer k L�-�'" U"
Roofing
PA
p
Concrete /`r4
Concrete
Fireplace
two'
Solar 04
Other
NA
Other Na-
Other
(JA-
Applicant: I hereby acknowle ge th t I ave read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of rt of n dinances and ate -law regulating gulating building const ction. q 't�
Applicant Signature Print Name t 5 Phone C-744�fbq
Distribution: White —Office Yellow —Applicant Pink —WV NV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE