HomeMy WebLinkAbout1033 Linden Gate Ct - Applications/Basement Finish - 05/08/2017COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N College Ave • Fort Collins, CO 80522-0580 • Phone 970-221-6760
www fcgov cont/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER b I-1 0Q4 1 APPLICATION
Job Site Address i^ 33
5Iii'll
Unit #
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # L%a Z 9 4 O / 2-
Last name . "ru.c�_ 1 First Name Rc LA, L,% j( Middle E c.,1
Street Address /6 3 L -^�( v. �r�+� ity. Cro State (f_O Zip L Y
Company Name
Lic Holder Name
Contractor Phone #
City of Fort Collins License # Supervisor Cart #.
Mailing Address City
LEGAL INFO,
Subdivision/PUD Filing # Lot #.
CONSTRUCTION INFO. Total Building Sq Ft (not including basement)
State
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1It Floor Sq Ft
2^d Floor Sq Ft
3nd Floor Sq Ft
Unfiished Bsmt Sq Ft -744
Finished Bsmt Sq FtyM a # of Bedrooms # of Full Baths % Baths I Yz Baths # of Fireplaces
Air Condihontng Yes No Energy Info ( Circle appropnate 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
Water Tap Size Sewer Tap Size
List appropriate option #s
Metered Yes or No Temp Pedestal Yes or No
Type of Heat ❑ Gas ❑ Electnc Electric Main Breaker Size
(Residential only') ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor matenal & profit) $ I N w I I 0-1 LA (he)
Description of Work �'� S 's c v►-C-
Contact Name & Phone # of JOBSITE SUPERVISOR 'R ,LA% , , e 41:�4 (�A /?
Subcontractor Info,
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant I hereby acknowledge that I have read this ap jLQWwa acid slate that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collin ordin ees and to lawstegulating building construction
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Applicant Signature Print Name.. ,t' f `7 w� Phone / e2 S� iJ 1-1/5-
Distribution White - Office Yellow -Applicant Pink - W W W/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE