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HomeMy WebLinkAbout2308 Trestle Rd - Applications/Basement Finish - 06/12/2015City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES FOI t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER L � I APPLICATION DATE �6 / Job Site Address �Z- ��"��� # (Unit # PROPERTY OWNER INFO: (All owner information is required - it-is�not optional) Phone Last name 1 ' 1 `G �� First Name ��5��`�� Street Address Z�g }- I t Cd� Coddle City 4 l__I � o v%s Zip :?O S2 CONTRACTOR INFO: Company Name tZvt4 Contractor Phone # aSt-atte_7n �60o Lic Holder Namen` �.� City of Fort Collins License #�2 �� Supervisor CeCrtt # r Mailing Address `1 T� Ltr� City l—[ � CC � �t �n S State CD Zip iS©5�Z(o LEGAL INFO: Subdivision/P CONSTRUCTION INFO: Total Building Sq Ft (not including Filing # Lot # Block # Lot Sq Ft Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 1s' Floor Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Finished Bsmt Sq Ft lano # of Bedrooms # of Full Baths Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) Unfiished Bsmt Sq Ft -ZO '/ Baths '/z Baths # of Fireplaces 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing City of Fort Collins Stock Plan # UTILITIES INFO: List appropriate option #s 6. Prescriptive w/ Blower Door_ 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 .rJ_ _ cu Value of Construction (including labor, material & profit) 13 Contact Name & Phone # of JOBSITE SUPERVISOR: Q- -} ajv"Jy a oo M a _29Z - 3 b od Subcontractor Info: Electrical l 1t%1` -• r Mechanical Yt` c��� Plumbing 1) ti e_�.Lc4 Framer 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 Fort Collins ordinances and state laws regulating building construction. Applicant Signature A Print Name ZK : S'_Ua�L� Phone 2gZ- cap Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE