HomeMy WebLinkAbout3209 Reedgrass Ct - Applications/Basement Finish - 11/14/2005xv BUILDING PERMITS & INSPECTIONS DIVISION
' P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
Citvof Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER �O I I APPLICATION DATE
Job Site Address Ulf)°1 `REED GRASS Co girt a Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 9 9 O •— 'Y / — S2 3 3
Last Name 10 0-wsoA/ First Name- Lvg r AIV/V Middle
Street Address /
_ `310q ReeD ,eA9S C D Zi City FART' I o/ L/jds State C0Zip 0 f
CONTRACTORINFO: Company Name 'POE H LMI NA/ CDNS Q Contractor Phone # 99 0 '-.27 B — / 93 d
Lic. Holder Name �AQQ� //�h i�1A) City of Fort Collins License # V13_ Supervisor Cert #
Mailing Address 57 I (o(y -Ve —% City /:!;! Z-*N0 State_ Zip g05,3
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq
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
15i, Floor Sq Ft
2^d Floor Sq Ft
Unfinished Bsmt Sq Fta�:_
Finished Bsmt Sq Ft JLIZ
# of Bedrooms # of Full Baths % Baths 'V Baths
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck
3. ResCheck w/Blower Door 4. E-Star w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
5. Prescriptive w/Air Sealing
List appropriate option
# of Fireplaces
2. ResCheck w/Air Sealing
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
Value of Construction (including labor, material & profit)
Description of Work:
G
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical f2rea FLE(,TJi?Ic Mechanical ALL REASonl /t Plumbing
Framer
Other
Applicant: I hereby acknowledge tha I ha a this application and state that the above information is correct and agree to comply with all requirements
contained herein and of Fort ins and state laws regulating building construction.
Applicant Signature rint Name_ _ rr ! j pig n Phone
Distri ution: White — Office Yellow —Applicant Pink — WWW/Stormwater
Roofing
Concrete
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE