HomeMy WebLinkAbout933 Saddlebrook Ln - Applications/Basement Finish - 06/10/2010City of
Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. - Fort Collins, CO 80524 - Phone: 970-416-2740 (05�
www.fcgov.com/building � `r
BUILDING PERMIT APPLICATION
APPLICATION NUMBER - /� �
APPLICATION DATE r. '
Job Site Address q B tD`fs- a 2 l<- Ltl N E- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 9 1C) a-1 — I ca I
Last name C400 K- First Name VC-1-r- 2 Middle ft
Street Address J3 J Q A -a 0 L-E-r3Q-01aDk City rblit C0L-Cj ) 5 State 0!�-(D Zip BLS'Z-T
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Addre
Contractor Phone #
City of Fort Collins License # Supervisor Cert #.
City
State Zip
LEGAL INFO:
Subdivision/PUD FeD0jAJ«-7-0L1-) /tf Filing # Z Lot # 3 Oy Block # Lot Sq Ft 7- ZS
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) tart 3 2-7 Total Garage Sq Ft �d0
Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft
2°d Floor Sq Ft
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft S01 . # of Bedrooms -3 # of Full Baths Z- % Baths , %. Baths # of Fireplaces
Air Conditioning: Ye Non Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing F] 6. Prescriptive w/ Blower Doofa
City of Fort Collins Stock Plan # a10 . 9-34 List appropriate option #s F-Lit5 dA-r(o ,J
UTILITIES INFO:
Water Tap Size Sewer Tap Size_ Metered: Yes I^ INoF-1 Temp. Pedestal Yes❑ No ❑
Type of Heat: `® Gas ❑Electric Electric Main Breaker Size (Residential only) K150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ f1-t�� POL-i�
Description of Work: 4!�-,A) Is G ASA4 E .,j % � TLk :-T tl'2AMG fv 4 lFkA-I-L& 9-45c r3t^r+1
Contact Name & Phone # of JOBSITE SUPERVISOR: e-rL--2 ez�,,V1L- ZZ 3 "`t 9- l -4-
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowled a 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 ort ins ordinances and state laws regulating building construction. /��,n,
Applicant Signature Print Name ?�L N247VK Phone Z05 " 4 a
Distribution: White — Office Yellow — Applicant Pink — VWWV/Stormwater
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