HomeMy WebLinkAbout209 Cheops Ct - Applications/Basement Finish - 11/24/2017COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416.2740
www.fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 7) APPLICATION DATE
[J_ oti Site Address 209 ;Cheops Ct Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 970 691 0089
( Last name Leerssen First Name. Jeremy Middle
Street Address 209 Cheops Ct City Ft. Collins
CONTRACTOR INFO Company Name
Lic Holder Name
Contractor Phone
state Co Zlp 80525
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
r -
CONSTRUCTION INFO: Total Budding Sq Ft (not including basement) Total Garage Sq Ft _
Residential Sq Ft Comm1 Sq Ft # of Stones Bldg Height # Dwelling Units
1" Floor Sq Ft 2n° Floor Sq Ft 31' Floor Sq Ft Unfiished Bsm q
Funshed Bsmt Sq Ft 6 9 3 F--# of Bedrooms # of Full Baths - i % Baths % Baths f# o Firepl ce
Air Conditioning Ye JANoH Energy into ( Circle appropriate choice) 1. ComCheck 1:1j2. ResCheck w/Air Sealing
3 ResCheck w/Blower Door El4. Simulated Performance Altemabve❑ S. Prescriptive w/Air Seahng[] 6. Prescnpbve w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
Water Tap Size Sewer Tap Size . Metered Yes ❑NoF] Temp. Pedestal Yes❑ No
El
Type of Heat ❑ Gas F]Electnc Electric Main Breaker Size (Residential only) 1:11500 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ S d Z� 1 �� . '✓U
Description of Work,
After the fact finished basement
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Applicant. I hereby ackn l)FoCli
t
contained herein and C of
Mechanical
Roofing
Other
Concrete
Other
Plumbing
Fireplace
Other
read this application and state that the above information is correct and agree to comply with all requirements
nanoes and state laws regulating building construction
Print Name Jeremy J Leerssen Phone 970 691 0089
White —Office Yellow —Applicant Pink —VWW /Stormwater
EXPIRES 180 DAYS FROM APPLICATION DATE