HomeMy WebLinkAbout3751 Sandy Shore Ln - Applications/Single Family New - 08/16/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www. f cgov. co W building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER '� 0 � 0 1 � � I APPLICATION DATE v I (� —P
Job Site Address 3751 Sandy Shore Lane Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional)
Last Name KEM—FL Swift, LLC First Name
Street Address P.O. Box 1845
Phone # (970) 223-4900
Middle
City Fort Collins State CO Zip 80522-184.11-
CONTRACTOR INFO: Company Name KEM Homes. Inc. Contractor Phone #(970) 223-4900 ta_
Lic. Holder Name William R. Krug City of Fort Collins License # B-45 Supervisor Cert # 60
Mailing Address P.O. Box 1845 City Fort Collins State CO Zip 80522-1845
LEGAL INFO:
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Subdivision/PUD Fossil Lake Swift Addition Filing # Lot # 82 Block # -- Lot Sq Ft 6160
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2035 Total Garage Sq Ft 518
Residential Sq Ft 2035 Comm'I Sq Ft -- # of Stories 1 Bldg Height 21# Dwelling Units 1
1st Floor Sq Ft 2035 2nd Floor Sq Ft -- Unfinished Bsmt Sq Ft 1953 Finished Bsmt Sq Ft
# of Bedrooms 3 # of Full Baths 2 '/4 Baths -- 'h Baths
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
-- # of Fireplaces 1
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Water Tap Size 3/4" Sewer Tap Size 4" Metered. Yes or No Temp. Pedestal: Yes or No
Type of Heat: fr] Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less 0 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 21fixk2fifixx 218,028.65
Description of Work: New single family residence with a 3—car garage, full basement, and a 13'x10' deck.
Contact Name & Phone # of JOBSITE SUPERVISOR: Bill Gurski, 566-3208
Subcontractor Info:
Electrical Rossi
Mechanical NCA
Framer AK Construction Roofing Reeve
Plumbing Allen
Concrete S ipes 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 andCityof o ollins ordp'nce d state laws regylating building construction.
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Applicant Signature 11r Print Name William E. Gurski Phone (970) 223-4900
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE