HomeMy WebLinkAbout2245 Bar Harbor Dr - Applications/Basement Finish - 06/15/2017COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
APPLICATION
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 870-221-6760
www.fcgov cornibuilding
BUILDING PERMIT
/ APPLICATION
Job Site Address 22 45 Dr Unit #.
S/ 7. .2
PROPERTY OWNER INFO: (All owner Information Is required- It Is not optional) Phone # 303- Zlo 30- R$ 5D
Last name tAd:5010 {� ' l First Name A nAY-ew + J)" y% Middle O-Lt I d' L.,c"nc
Street Address �y rJ Bar 144,r b oY Or city Et: C 011I VI 5 State C,Q Zip %05 Z�j
CONTRACTOR INFO- Company Name N A Contractor Phone #.
Lic Holder Name
City of Fort Collins License #
Mailing Address City.
Subdivision/PUD M n 421e. i-h ll Filing #
Supervisor Cart #
State Zip
Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stones Bldg Height # Dwelling Units
10 Floor Sq Ft 2"d Floor Sq Ft 3'd Floor Sq Ft Unfrrshed Bsmt Sq Ft
Finished Bsmt Sq Ft b S 4,10 # of Bedrooms # of Full Baths Q % Baths '/z Baths Q # of Fireplaces
Air Conditioning 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 #
List appropriate option
Water Tap Size Sewer Tap Size Metered: or No
Type of Heat gGas ❑ Electric Electric Main Breaker Size (Residential -only)
Value of Construction (including labor, material 6 profit)
Temp Pedestal Yes or No
Z150 Amp or Less ❑ 200 Amp ❑ Other
Contact Name 8 Phone # of JOBSITE SUPERVISOR: ArevV iito5orl 91 O - 214- o r,27
Subcontractor Info:
Electrical —WA
A
Framer Roofing
Solar Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant I hereby acknowledge that I have read this application and slate 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 1
Applicant Signature ^��v.:J_ Print Name �alm a o► "U61 So✓1 Phone 303-
Distribution White - Office Yellow -Applicant Pink - W W W/Stornwalere
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE