HomeMy WebLinkAbout1725 Barnwood Dr - Applications/Basement Finish - 01/13/2017City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Cottins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
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APPLICATION NUMBER I 00 I t �0 APPLICATION DATE
Job Site Address 1 7 Zs Bcc-rl7 kd -Dr Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last name ZZ-O) I m Q,n (FFiirst Name A ,�I Middle
r) Street Address bw I 4u n 41 n cr * n 1113 Ct City 'F- EO If it 0,5 StateC'Q Zip C)S 215
CONTRACTOR INFO: Company Namey A ac)' I r Y r a—q Contractor Phone #
Lic Holder Name
Mailing Address
LEGAL INFO:
City of Fort Collins License #,
Supervisor Cart #
City State Zip
Subdivision/PUD Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
2"d Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft 4� 0 9W
Finished Bsmt Sq Ft 167 # of Bedrooms I # of Full Baths % 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 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
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) $
Descriptioa of Work: -PcLY r I ctI I� - fit n s h
Contact Name & Phone # of JOBSITE SUPERVISOR: _
Subcontractor Info: O O ® t0 Q
Electrical n.,.� .T.,.�krw.S Mechanical
Framer
Solar
Roofing
Other
5,lILPU-1O
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge that I have read this application and state 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. /
Applicant Signature ( Print Name n ✓% � 6Ni q %� Phone 2�0 —5 // (
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE