HomeMy WebLinkAbout3120 Bryce Dr - Applications/Basement Finish - 07/26/2018City of
Fort Collins
APPLICATION N
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970.221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATI
APPLICATION
Job Site Address V e &ecev' .00Y Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # `970 -IY6 777/
Last name ea ;A l , A 'q First Name Brea �}- e'w Middle
Street Address 31 a CS ter t-1G E City //' � Ca 1 /r t ti-.c StateC"� Zip 9405 -2
11
CONTRACTOR INFO: Company Name �j Contractor Phone #
Lic Holder Name /�y'121,I�/�>�y�l�°'Xt$ /, City of Fort Collins License #�;upervisor Certc#�
Mailing Address `�/ 7"1 K/(C5f OaV' Sf City r1 & 1Ij <V S State C6 Zip 7S 65--2 L
LEGALINFO:
Subdivision/P
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
151 Floor Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms k # of Full Baths '/, Baths A— '/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.,, mc�aterial & profit) $ o2S�O, 0 d
cl
Description of Work: / 8q S9_` 'E q i'E'jaieW
Rn D M1 A AiJ N 6 Yud /"
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Ol r et Mechanical
Framer
Solar
Roofing
Other
7c—a sn
Concrete
Other
Yob 3) ej 45N 9 3
Plumbing C016,
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 ordin nces and state laws regulating building construction.
Applicant Signature 4" Print Name / / T"u' eA'� `1 Phone
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE