HomeMy WebLinkAbout2727 Denver Dr - Applications/Basement Finish - 11/01/2017City 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 V T�'�-(2� APPLICATION DATE �1 . • 1 i
Job Site Address 1-7 .27 f)eo ✓-c ✓ De Unit #,
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone
Last name— Aida✓V1S First Name > a inn Middle C-
Street Address 2 -1 }1 N.'- -e �) r City aCr cl M! StateCd Zip d � X-5
CONTRACTOR INFO Company Name 46yv% o W ✓l ty- Contractor Phone #
Lic Holder Name
Mailing Address_
LEGAL INFO
Subdivision/PUD
CONSTRUCTION INFO Total Building Sq Ft (not including
City of Fort Collins License # Supervisor Cart #
City State Zip
Filing # Lot #.
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stones Bldg Height # Dwelling Units
15' Floor Sq Ft
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 1 tQ # of Bedrooms t # of Full Baths 3/. 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
City of Fort Collins Stock Plan #
UTILITIES INFO
List appropriate option #s
Water Tap Size Sewer Tap Size Metered Yes or No
Type of Heat ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only)
Value of Construction (including labor, material & profit) $ 'V Sy :2 5o G
Description of Work zs. L a cm,,j 1 �, -7 16
O VW- IAP .l // nnv wi n i n" 2%* j&a 1 �1 .
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical
Framer
Roofing
Mechanical
Concrete
6 Prescriptive w/ Blower Door
Temp Pedestal Yes or No
or Less ❑ 200 Amp ❑ Other
Plumbing
Fireplace
Solar Other Other Other
Applicant I hereby acknowledge that I have re application and state that the above information is correct and agree to comply with all requirements
contained herein and5rt�ol
lins or 's an state laws regulating building construction
Applicant Signature Print Name JnCtlj KA S Phone
Distribution White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE