HomeMy WebLinkAbout777 E Lincoln Ave - Applications/Footing and Foundation - 12/20/2013COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING
APPLICATION
Job Site Address 777 E Lincoln Ave., Ft. Collins, CO 80524 Unit #
PROPERTY OWNER INFO: (All owner information required - It Is not optional) Phone # 970-482-581 1
Stiesme er Cvo-ba��uGue Steve
Last name y First Name Middle
Street Address 1000 E. Drake Rd. City Ft. Collins State CO Zip 80525
CONTRACTOR INFO: Company Name Mortenson
Lic Holder Name Matthew Johnson
Mailing Address 1621 18th St., Suite 400
LEGAL INFO:
Subdivision/PUD
Contractor Phone
City of Fort Collins License #.
303-917-7508
Supervisor Cert #
City Denver State CO zip 80202
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 100
Residential Sq Ft 0
1" Floor Sq Ft 100
Finished Bsmt Sq Ft 0
Total Garage Sq Ft 0
Comm'I Sq Ft 100 # of Stories 1 Bldg Height 12' # Dwelling Units 0
2nd Floor Sq Ft 0
31 Floor Sq Ft 0
# of Bedrooms 0 # of Full Baths 0
% Baths 0
Unfiished Bsmt Sq Ft 0
/, Baths 0 # of Fireplaces 0
Air Conditioning: YeGoR Energy info: ( Circle appropriate choice ) 1. ComCheck E] 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door)
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO: j�
f\ Water Tap Size NA Sewer Tap Size NA Metered: Yes �Nowl Temp. Pedestal Yes❑ No Z !
Type of Heat: Gas Electric Electric Main Breaker Size (Residential only) [--It 50 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $ 6000.00
Description of Work:
Foundation construction for the placement of historical milk house building. No utilities.
Contact Name & Phone # of JOBSITE SUPERVISOR: Emily Peddicord, 303-917-750E
Subcontractor Info:
Electrical NA
Framer NA
Solar NA
Mechanical NA
Roofing NA
Other NA
Concrete Mortenson
Other NA
Plumbing NA
Fireplace NA
Other NA
Applicant: I hereby acknowled that v ea this application and state that the above information is correct and agree to comply with all requirements
contained her and City of Col rd a s and state laws regulating building construction.
Applicant Signature Print Name Emily PeddiCOrd Phone 303-917-7508
Distribution: White -Office Yellow -Applicant Pink - WWW/Stornwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE