HomeMy WebLinkAbout3339 Ledgestone Ct - Applications/Basement Finish - 01/30/2017COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
APPLICATION
,.Job; Site, Address_
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building ex
BUILDING PERMIT APPLICATION �.
APPLICATION DATE
Unit #
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PROPERTY OWNER INFO: (All owner information is required - it is not optio al) Phone # ��
Last name Rvanev First Name rybA purl Middle
Street Address City q44- S State Zip��z0
,CONTRACTOR INFOI; mpany Nam0�44 5 4 ContractorPhone# �7 7 Z—i % 9
Lic Holder Name /�/Jpy� ✓I grl City of Fort Collins License # k' � -5 3 Supervisor Cert # 2 DZ
Mailing Address ((l(/ t�/ �a� City 4y? k 6M�11 State ZO Zip 5�_057_4-
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft 2nd Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # 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 # List appropriate option #s
UTILITIES INFO:
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
Iry
Value of Construction (including labor, material & profit) $ 767pp i
I�QDescription;of W rk: .'d'l✓i fs� �-f�ac a Vr rT /" n /G���•
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Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Irifo: ;�
EIectrical75&r �1L ?Y7""r15 Mechanical %y�f/���-> 4A`11Plumbing
Framer 77 1111WOh4 Roofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby acknowled that I have read this 4pipation and state that the above information is correct and agree to comply with all requirements
contained herein and City of F rt ollins r inances a ate laws regulating building construction. ,/
Applicant Signature \ Print Name , /Ill? �� Phone 7/Z- 7%T
DistribUio White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE