HomeMy WebLinkAbout942 Sandy Cove Ln - Applications/Basement Finish - 08/07/2014COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Form of
281 N. College Ave. • Fort Collins, CO 8OS24 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION
APPLICATION NUMBER ISID f�- q 0 APPLICAnON DATE g�Z E7 j Ej
Job Site Address
/T•
Unit #
PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone #
Last name 3r/ �A/k-mand /� First Name ck-r / /j Middle /�,
Street Address 97�-54ytO�� City �aat (81/ tt s State W Zip V���
CONTRACTOR INFO: Company Name
Lic Holder Name
Contractor Phone #
City of Fort Collins License # Supervisor Cart #
Mailing Address City. State Zip
LEGAL INFO:&! &
Subdivision/PUD / 3 3 Z/D / QkQ I Qf'S C GTJ� Filing # / 96 aQI / l,Lot #�00 Block # I °C LotSqFt�l1" W
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) �CJ p �" Total Garage Sq Ft
Residential Sq Ft Comml Sq
# of Stories Bldg Height # Dwelling Units
Is' Floor Sq Ft 2nO Floor Sq Ft 31° Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 2 % Baths 'Y2 Baths _L # of Fireplaces
Air Conditioning. Ye40 Energy Info: ( Circle appropriate choice) 1. ComChack ❑ 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Aitemative❑ 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 ❑No❑ Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) FI150 Amp or Less ❑ 200 Amp ❑Other
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor
Electrical 111� Mechanical
Framer
Solar
Roofing
eiC"uTl'1
Concrete
Other
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. O
Applicant Signature �11�-�- /Y� Print NamPhone
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE