HomeMy WebLinkAbout2920 Denver Dr - Applications/Basement Finish - 03/23/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER\ l�J ` APPLICATION DATE � ���
- Job Site Address Zq 20 Detjvai2 )2iyc Unit #
�V—PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # � 70 -215 -U GoY
/_ l Last name CA 80l`vA62I First Name ei fW J Middle
Street Address Z 9 o Dsj V e p— _ g iy City T T �LL illr �j State LV Zip S6 5Z5-
CONTRACTOR INFO- Company Name
Lic Holder Name
Mailing Address,
LEGAL INFO:
'MT0 00 911 ill1k
Contractor Phone #
City of Fort Collins License #
City.
Supervisor Cert #
State Zip
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height
15' Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft
Finished Bsmt Sq Ft 209 # of Bedrooms # of Full Baths 2- -/4 Baths
Air Conditioning- Ye No Energy info- ( Circle appropriate choice ) 1. ComCheck
# Dwelling Units
Unfiished Bsmt Sq Ft 659
'/2 Baths I # of Fireplaces I
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
Water Tap Size Sewer Tap Size Metered. Yes or Nc
I
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker,Size (Residential only)
Value of Construction (including labor,, material & profit) $_
Aescrlptlon of Work: AD o11�? /fit STO 0/0 T
ZOO SO -,FT 04 NEw T
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info:
Electrical
Mechanical
Temp Pedestal Yes or No
❑ 150 Amp or Less ❑ 200 Amp ❑ Other
CLo l; [: 75 At jD l= f j6ta Si1,rCT A YAu w,4'
SAM CULL rNS
Framer Roofing Concrete
Solar Other Other
go6-593- 4937
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 Co ins ordinance d state laws regulating budding construction/ d
Applicant Signature Print Name SAM (O LLI�S Phone D0� �'43'4�3 7
Distribution White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE