HomeMy WebLinkAbout2505 W Plum St - Applications/Basement Finish - 06/06/2018City of
II 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 ia) ` `pc) LAa 1 APPLICATION DATE 1
oS21
Job Site Address 2Sc)4S W P w,� Sr Q.,('k Co\\,n\ I Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone
Last name VO L % t C First Name Middle
Street Address? SoS W Q%ucl\ S.k-- City ipar-k- COS\\M State_LjL) Zip�S
CONTRACTOR INFO: Company Name ' J (\y.4AOW !2� Contractor Phone #
Lic Holder Name City of Fort Collins License # `J(\V-fx0 Supervisor Cert # csf\1L�tMtr 1
Mailing Address U0Y'rio,,sf\ City( Statey(\Caf\dUJnZip U r-\x-r-\tA.\n
LEGAL INFO: � �j��
Subdivision/PUD 1 z Filing# Lot � Block #� Lot Sq Ft A ' "'
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)) t0 Total Garage Sq Ft
Residential Sq Ft Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units
1 'Floor Sq Ft �77 / 2n1 Floor Sq Ft 3`d Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft J l0 # of Bedrooms _C # of Full Baths 0 3/< Baths Q '/z Baths # of Fireplaces )
Air Conditioning: Yes <Po 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
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only) TTTTTT'''"'�150 Amp or Less ❑ 200 Amp ❑ Other
, Value of Construction (including labor, material & profit) $ k qD I�
Contact Name & Phone # of JOBSITE SUPERVISOR: J t�f��l Le4ji S -7 -(P4
Subcontractor Info:
Electrical U t'\1CX1Cly.1(\_ Mechanical Plumbing Plumbing ^t^\1A-x-'\(S1- Sn
Framer Roofing � � n\C K1CSwC1 Concrete j j(-Ny jr\0l-rJ!'1 Fireplace "(\ V-K\ (4-.1n
Solar t ) (2, Xc u.5n Other vi t\V-00wf) Other
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 Collins ordinances and st aws regulating building construction.
Applicant Signatu 1\ Print Name �o f-d&, C /
e4j i, ' Phone q zoo 1St9
try
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE