HomeMy WebLinkAbout1514 Sea Wolf Ct - Applications/Basement Finish - 04/19/2017City of I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort+t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER O Z04K APPLICATION DATE � I 1 � 1-7
Job Site Addressy514 se -a-" w (2+ Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 1-7o — 443 - 3(o 3
Last name reJ P v'0_ First Name �V_jdyt /` Middle
Street ��A++99dddr�resss�� �` S-314 Sw_ � (� ��� City �+ • CD � � t v�5 State CD zip RDS16
CA�WC& iNFO Company Name Contractor Phone #
Lic Holder Name
Mailing Address
City of Fort Collins License # Supervisor Cert #.
City
LEGAL INFO: Subdivision/PUD�1S�W,,�L//��
Filing#
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
State
Lot # 114 Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Corri Sq Ft # of Stories Bldg Height # Dwelling Units
181 Floor Sq Ft
20d Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft _A0
Finished Bsmt Sq Ft ( 13O # of Bedrooms �_ # of Full Baths 1 3/, Baths G % 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:
List appropriate option
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❑sionly) 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material& profit) $ 1/%7 rally L/J f
Description of Work: 4 C `Fr `W jAC(hAXMAA C P S� (30 5? 1
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical Plumbing
Framer
Solar
Roofing
Other
Concrete
Other
Fireplace
Other
Applicant: I hereby ackno ed that I have read plication and stale that the above information is correct and agree to comply with all requirements
contained herein an y of Fo Collin td Lances t ws regulating building construction.
Applicant Sign Print NamePhone lo" 3
Distribution: While -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE