HomeMy WebLinkAbout539 San Juan Dr - Applications/Basement Finish - 03/22/2013Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1? / 3 O / DYE �? APPLICATION DATE 3 19W 22�—/ 3
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Job Site Address 539 San Juan Dr. Ft. Collins Co Unit #
PROPERTY OWNER INFO: (All owner information Is required - it is not optional) Phone # 512-342-7123
Last name Rivette First Name Zack Middle
Street Address 539 San Juan Dr City Ft Collins State CO ZIP80525
CONTRACTOR INFO: Company Name Integrity Contractors LLC Contractor Phone # 970-567-2730
Lic Holder Name Steve Brown City of Fort Collins License # D-653 Supervisor Cert #
Mailing Address 1527 La Jara St City Loveland State CO Zip 80538
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not induding basement) Total Garage Sq Ft
Residential Sq Ft
1s' Floor Sq Ft
Comm'I Sq
2n° Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3rtl Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 1 100 # of Bedrooms 2 # of Full Baths 1 '/. Baths 0 '/2 Baths 0 # of Fireplaces 0
11
Air Conditioning: Ye�]No� Energy info: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing
3. ResCheck wBlower 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 []No[:] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential
(Residential only) 0150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ �*�" .:?2 0
Description of Work:
remodel 1100 square
s pa
Contact Name & Phone # of JOBSITE SUPERVISOR: Steve Brown 970-567-2730
Subcontractor Info:
Electrical R&T electric
Framer integrity contractors LLC Roofing
Solar
Other
Mechanical AIR wsluR ' Plumbing Highland plumbing
Concrete
Other
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 Its ordinances and state laws regulating building construction.
Applicant Signature Jy �C�-�(?'(/liS�_ Print Name ) � ✓ r' r'; -,,i 1-, Phone
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Distribution: White -Office Yellow -Applicant Pink - WVWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE