HomeMy WebLinkAbout5645 Kadenwood Dr - Applications/Basement Finish - 05/09/2016CKY O-F COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
„Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/bu i Id ing
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ` v I ✓� APPLICATION DATE
Job Site Address Unit #
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57
Last name i 'First Name/✓%% Middle
Street Address /-Pems /z City y� 6Y1� ��f��%:G�� State ` o Zip
CONTRACTOR INFO: Company Name S5V i P e—�GL�f Contractor Phone
Lic Holder Name L L City of Fort Collins License # Supervisor Cert #
Mailing Address G� � /<� ?3Sr City g�� 4` State Zip
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft
1s1 Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft / # of Bedrooms � # of Full Baths '/ Baths / '/2 Baths # of Fireplaces
Air Conditioning: Ye1KNoP Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 11 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
UTILITIES INFO:
2°d Floor Sq Ft
Water Tap Size Sewer Tap Size
3m Floor Sq Ft
List appropriate option #s.
Metered: Yes F-]Nor—I
Type of Heat: FIX] Gas Electric Electric Main Breaker Size (Residential only)
Value of Construction (including labor, material & profit)
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Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: �y
Electrical��T�13��/I�;echanical
Framer�j'%i�Gfd/1/,S ACC Roofing
Solar
Other
Concrete
Other
Temp. Pedestal Yes El No ❑
150 Amp or Less 11 200 Amp Other
F%b a '7 0
Plumbing�o
" �G jf%� _QON
Fireplace. Ar,—,a �
Other
Applicant: I hereby acknowledge that I have read this application' state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort C I'ns ordinances and state aws regulating building construction.
-mayApplicant Signature Print Name �'i %�/,r���Q Phone
C- Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
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