HomeMy WebLinkAbout1408 Reeves Dr - Applications/Basement Finish - 11/14/2018City 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-0j �O R 1 I 1 APPLICATION DATE 11 . I r
Job Site Address, 114o8 3Q&v+ec ptr. lnr'� Q.!zioA1fvS (�,6 R, S?6 Unit #
PROPERTY OWNER INFO: , (All owner information is required - it is not optional) Phone # L �0 F G 7
Last name JQ First Name A u . Middle � 1
Street Address aQJQ. f ID In' City .ty�f C9f(1 N < State _GG A)IO '2,6
CONTRACTOR INFO: Company Name ky�` CContractor Phone #
Lic Holder Name City of Fort Collins License # Supervisor Cent #
Mailing
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq
Filing # Lot #
# of Stories Bldg Height
1s' Floor Sq Ft 2nd Floor Sq Ft 3r° Floor Sq Ft
Finished Bsmt Sq Ft f # of Bedrooms �_ # of Full Baths _ 3/, Baths
State Zip
Block # Lot Sq Ft
_ Total Garage Sq Ft
# Dwelling Units
Unfiished Bsmt Sq Ft
Yz 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 6. Prescriptive w/ Blower Door
City ofFort 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 only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ O a
Des criptiol4f Work: �'djcm
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: l
Cab �,�,nl Hod}c�PJ /
Electrical % T@h1 Q Y r C Mechanical Plumbing S t `� f
:�.NAks'_
Frame q-1 Roofing Concrete Fireplace
�I
Solar ther St ( r tv�?r�r Other
Applicant: I hereby ewle a that I have read this application and state that the/ above information is correct and agree to comply with all requirements
contained herein City of Fo Collins ordma es and state laws regulating building construction.
� 776 Zq7 �G�Z
Applicant Signature Print Name A V i JQ�.�J Phone
d;�wk�s7�CoMc« k'N' ce,�� �� ��o �s ✓/
istribution: White —Office Yellow —Applicant Pink—WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE