HomeMy WebLinkAbout612 Ramah Dr - Applications/Addition or Alteration - 12/23/2013COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 W. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1:3 0 6 575 Lf APPLICATION DATE /Z l?, 3 f 13
Job Site Address %/P j?A WPH D+2 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # a 0/0 — 93 t Q
Last name R D N I NG E'R First Name P/9 C-L Middle
Street Address 6(Z FR /-ll A14 tjR W E Cit1=-7-_ (20 LC/.US' State C.-�O Zip� d S ZS
CONTRACTOR INFO: Company Name f6a!1 /ES F/20A-i 7/z'F /MrZTContractor Phone # 27,,:-V a 17 -o? �33
Lic Holder Name CL, i FF-O AD hL� f/42T City of Fort Collins License # Supervisor Cart #
Mailing Address /338 P ,4,ZK R I pG E i t? State CO Zip 8 06/S
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft /6;Z Comm'I Sq
ls' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
Filing # Lot # Block # Lot Sq
ement) Total Garage Sq Ft _
# of Stories Bldg Height # Dwelling Units
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/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 # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size
ee-(Residential only) ❑ 150 Amp or Less ❑ 200 Amp []Other
Value of Construction (including labor, material & profit) $, O0�
Description of Work: Ri=A [OS>EL K I TC14FGA .4 PE F Z F (IT -°I CAL ,_�2 r-,wnc,C r4l) 7
(A L.4J4ot2cI RI_ -stt_r 5/ml< nrsnc0s4e RE -g-FT AepL1,4A-C _c
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
1
Electrical T 5 l=L-t-CrAll (! p� Mechanical Plumbing e02P0f2.4Tt=
FramerMOOE5 fiAO r( r/tc Roofing 061A Concrete Fireplace
Solar N/4 Other 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 of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature i � �Y' iZ�Pb Print Name C'C/FFO/QD Al , 14ii?477Phone
Distribution: White — Office Yellow — Applicant - Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE