HomeMy WebLinkAbout5621 Big Canyon Dr - Applications/Single Family New - 06/11/2013City of
I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
PERMIT APPLICATION
1 WO TWAI APPLICATION DATE
PROPERTY OWNER INFO: (All owner information Is required- it is not optional) Phone # 303-486-5038
Last name Ryland Homes First Name Middle
Street Address 8200 E Maplewood Ave #150 city Greenwood Village State CO Zip 80111
CONTRACTOR INFO: Company Name Ryland Homes Contractor Phone # 303-486-5038
Lic Holder Name Dylan Rodgers
City of Fort Collins License # D-306 Supervisor Cert # 3374-D
Mailing Address 8200 E Maplewood Ave #150 city Greenwood Village State CO Zip 80111
I4X�I N"s
Subdivision/PUD McClelland's Creek Filing # 3 Q Lot #�_ Block #� Lot Sq Ft � 4 `
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) �lD V Total Garage Sq Ft
IQ , I'
Residential Sq Ft JLDU Comm'I Sq Ft 0 # of Stories Bldg Height 85 I # Dwelling Units 1
151 Floor Sq Ft 2"0 Floor Sq Ft _kQ5 1 3r1 Floor Sq Ft 0 — Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft — # of Bedrooms aJ # of Full Baths —L % Baths I '/z Baths I # of Fireplaces
Air Conditioning: Ye1X INon Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing Z
3. ResCheck w/Blower iiiD!llo,,,or 11
4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing � 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # ` tbb List appropriate option #s '
UTILITIES INFO:
Water Tap Size 3/4" Sewer Tap Size 4" Metered: Yes W]Nol:l Temp. Pedestal Yes[Z] No
Type of Heat: Z Gas ❑Electric Electric Main Breaker Size (Residential only) .91150 Amp or Less L J 200 Amp DOther
Value of Construction (including labor, material & profit) $
Description of Work: NS r-1-
Contact Name & Phone # of JOBSITE SUPERVISOR: Dylan Rodgers
Subcontractor Info:
Electrical Stanmark Elec.
Mechanical 4 Seasons Heating Plumbing ARK Plumbing
Framer K & L Contractors Roofing AVI Roofin
Solar SunTalk Solar Other
concrete Snow's Concrete
Other
Fireplace Rio Grande
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
�ordinances and state laws regulating building construction.
Applicant Signature B [� V _ Print Name Molly S Velez Phone 303-486-5038
Distribution: White - Office Yellow - Applicant Pink - VWVW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLOCATION DATE