HomeMy WebLinkAbout1272 Solstice Ln - Applications/Basement Finish - 05/28/2016City Of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
t.y www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER V )J9 APPLICATION DATE 544
Job Site Address 7R 9'0r2 s- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last name /,1 01 110q First Name e�p- Middle
C!
Street Address / �-70, S06it. �,g, L n City Fes- a/4,! s State Cv Zip TOO -ay -
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Contractor Phone #
City of Fort Collins License # Supervisor Cert #,
City
Filing # Lot #.
Residential Sq' Ft , Comm'I Sq Ft # of Stories Bldg Height.
State
Zip
Block # Lot Sq Ft.
_ Total Garage Sq Ft _
# Dwelling Units
111 Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft 50
Finished Bsmt Sq Ft 9.!50 # of Bedrooms 0 # of Full Baths 4< 3/ Bath )A�- '/z Baths � # of Fireplaces ,0-
Air Conditioning, Yes 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
' I
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑'Gas 0 Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor, material & profit) $
Des cription'bf Work: Fcz,��r S [7i9 v �i`Z 6g��ir1 ��` ����/�-(,(
Contat ct Name;j& Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical &'VC' -Ce b'� c- 1 Mechanical Plumbing
Framer S'Pi%i� 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 Print Name ��tie:-}- /f',el //0r j Phone L7 310 -1e"
i
Distribution: White -Office Yellow - Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE