HomeMy WebLinkAbout2308 Strawfork Dr - Applications/Basement Finish - 05/19/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rtCollins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER B I (.PO kilo 55 APPLICATION DATE 5 I I I I I (Y
Job Site Address 0?30 S- s`frac - r 4
Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name ��&& First Name &1em4,., Middle �.
Street Address o2.3 o k lL Om e City pKO4— e.1011 O State,/ G Zip O s r
CONTRACTOR INFO: Company Name w �/T Contractor Phone #
Lic Holder Name
City of Fort Collins License #.
Mailing Address City
LEGAL INFO:
Subdivision/PUD Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height
151 Floor Sq Ft
2nd Floor Sq Ft
31d Floor Sq Ft
State
Supervisor Cert #,
Zip
Block # Lot Sq Ft.
_ Total Garage Sq Ft _
# Dwelling Units
Unfiished Bsmt Sq Ft Q o
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/ Baths Q 1/2Baths # of Fireplaces
� 50
Air Conditioning: es No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 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 or No
Type of Heat: ❑ Gas ❑ Electric
'I
Temp. Pedestal Yes or No
Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Description of Work: 1
i
Contact Name & Phone # of JOBSITE SUPERVISOR:
'Subcontractor Info:
$ 151-15C0. OCR
0 WP?2?
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby: acknowledge th'a ave read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort ns ordinances and state laws regulating building co7sr
tion.
Applicant Signature Print Name /d^^�,, �� Phone �' �� P3 Z
Distribution: White — Office Yellow— Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE