HomeMy WebLinkAbout2869 Breton Way - Applications/Basement Finish - 08/18/2014City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building lyq ) p,u 7
BUILDING PERMIT APPLICATION
APPLICATION NUMBER t>1 40I (ZLf q APPLICATION DATE CJ'I U"'4
Job Site Address Zg69 -Fre7lyn W !j Unit #.
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # / M y7 Z S6 6 7
Last name_ �iQ tJ&'r ( NK6' ,S First Name L Middle
Street Address FP30-k-- 2-066 `` City -f:�dr I 6011" ✓ ,% State 40 zip
CONTRACTOR INFO: Company Name 7� I/�N i av1�S Contractor Phone # [g70 417 L 5Yd
Lic Holder Name AIA q /)trOPG City of Fort Collins License # 6iz-7 i Supervisor Cert #
Mailing Addresspt)i& 7-eo City^.%i, 0�0/111-1 % State 4a zip 5491F22--
LEGAL INFO:
Subdivision/PUD I ,t4 Wert FAL-rNLS Filing # Lot # i Z if Block # Lot Sq Ft 6oLZ
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq
# of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Unfiished Bsmt Sq Ft SZ6
Finished Bsmt Sq Ft?ib # of Bedrooms -/— # of Full Baths _/_ % Baths Yz Baths # of Fireplaces
Air Conditioning: Yes No Energy info:( Circle appropriate choice) 1. ComCheck 4�pesCheck w/Air Sealing
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
4. Simulated Performance Alternative S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
List appropriate option
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 only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ ZZi i 7-
Description of Work: Ao
Contact Name & Phone # of JOBSITE SUPERVISOR: 04-fta4
Subcontractor Info: �
ElectricallP-Aujei-hoeSQ Mechanical�i�rfG � -•Zt /0r7J '�r Plumbing
Framer &C " ri c4. Ens* Roofing Concrete Fireplace
Solar Other
Other
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 F ollins inances and state laws regulating building construction. Applicant Signature Print Name/ //6-0 �Wopc Phone '1705/6 3td sq
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE