HomeMy WebLinkAbout3839 Precision Dr - Applications/Basement Finish - 06/14/2016,ECOMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F&t'Colhns 281 N. College Ave. • Fort Collins, CO 80522-0580 • P-hone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1316037MM4 APPLICATION DATE
Job Site Address 3� ��Q�,1S14Y1j �Q�� Unit #
PROPERTY OWNER INFO: (All owner information is required —it is n t optional) Phone #
Last name V First Name c04Win Middle AIA11
Street Address .1 . 0 �C City �^ �d 8 N� State c d Zip 90SM
CONTRACTOR INFO: Company Name 11111t1?.Y Contractor Phone #
Lic Holder Name
Mailing Address
LEGAL INFO:
Subdivision/PUD
City of Fort Collins License #
C*
Supervisor Cert #
State Zip
Filing # Lot # Block'# Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
i
Residential Sq Ft Comm1 Sq Ft # of Stories Bldg Height # Dwelling Units
ls' Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
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
City of Fort.Collins Stock Plan #
UTILITIES INFO:
I '
Water Tap Size Sewer Tap Size
Type of Heat: n Gas n Electric
Value of Constructio
Description of Work:
List appropriate option #s
Metered: Yes or No Temp. Pedestal Yes or No
Electric Main Breaker Size (Residential only) n 150 Amp or Less n 200 Amp n Other
Contact Name & Phone.# of JOBSITE SUPERVISOR:
Subcontractor Info:
yam. 't ____KA%A
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ElectricalC�rcleI�,G��i Mechanical �0■'1 �.Qt �� Plumbing �J-$•Y1C
Framer Roofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby ack ledge that I hkve read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Ci o Fort Collins '• rdi ces and state laws regulating building construction.
Applicant Signature 1'�^"N� Print Name MUSOrQ� Phone
Distribution: kite — Office Yellow — Applicant Pink — WWW/Stormwater
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THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE