HomeMy WebLinkAbout2238 Bar Harbor Dr - Applications/Basement Finish - 09/14/2017City of
I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER J/ I 1 k 1 v JJ 1 3 APPLICATION DATE
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # I - 9 / 1�1 b 9L - o m)
Last name a6s- /��F,,irst,Naame r�/�i�L/�i Middle �p)
Street Address ,�2-3y �fi'/</ /7/`YI[!/� y> T[�/c'T- ( 8��/�%PJ State zip
'/pzip S�ojya/,
CONTRACTOR INFO: Company Name �7A� y d � ZC 5- UC �'' ntractor Phone # 7 / f/ d// 0 O ��a
Lic Holder Name
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGALINFO: 22�7
Subdivision/PUDA�J/ �QQ� Filing # Lot #—J, Block #AV�Pk Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft
Finished Bsmt Sq"Ft
2nd Floor Sq Ft
Unfiished Bsmt Sq Ft O
# of Bedrooms # of Full Baths '/< Baths Yz Baths # of Fireplaces
31d Floor Sq Ft
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
lessi�d❑,eenntiiial only) 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ C)�, V Y + , 60
of
Subcontractor Info:
t '
Electrical Mechanical Plumbing
Framer 0 Roofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby acknowl g that I have this application and state that the above information is correct and agree to comply with all requirements
contained herein and City F Collins o i nces and state laws regulating building construction. C�
r LJI�4Phone / 70��� Applicant Signature Print Name
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE