HomeMy WebLinkAbout5621 Evening Primrose Ln - Applications/Basement Finish - 06/02/2010City of
I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N College Ave Fort Collins, CO 80524 • Phone 970-416-2740
/ wweit fcgov conik/bullding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER Q )� �U J� �`� APPLICATION DATE
Job Site Address 5621 Evening Primrose Lane Ft Collins CO Unit #
PROPERTY OWNER INFO. (All owner Information is required - it Is not optional) Phone # 970-556-7433 Cell
Last name Timber Creek Builders First Name Middle
Street Address PO Box 1608 City Fort Collins State CO Zlp 80522
CONTRACTOR INFO Company Name Timber Creek Builders Contractor Phone # 970-556-7433
Lic Holder Name Jason Phillips City of Fort Collins License # D-621 Supervisor Cert #_
Mailing Address PO BOX 1608 City Fort Collins State CO Zip 80522
LEGAL INFO.
Subdivision/PUD Kasey s Garden of Fossil Lake Ranch Filing # 6 Lot #4 Block # Lot Sq Ft
CONSTRUCTION INFO. Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
Is' Floor Sq Ft
Comm I Sq
2n° Floor Sq Ft
# of Stones Bldg Height # Dwelling Units
3' Floor Sq Ft
UnNshed Bsmt Sq Ft
Finished Bsmt Sq Ft 830/1614 # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning YeGo0 Energy info ( Circe appropnate choice) 1 ComCheck 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
Water Tap Size Sewer Tap Size Metered Yes l:]Nol:l Temp Pedestal Yes❑ No ❑
Type of Heat DGas nElectric Electric Main Breaker Size (Residential only) ❑150 Amp or Less � 200 Amp Other
Value of Construction (including labor material & profit) $ )� 1 r) � 411
Description of Work
Basement foundation perimeter was insulated wired and sheetrocked Addition of 830 sqft finished space in basement
House Permit#B0904035
Contact Name & Phone # of JOBSITE SUPERVISOR Jason Phillips 970 556 7433
Subcontractor Info,
Electncal Triple G Electric Mechanical Custom Heating and Air Plumbing Haas Plumbing
Framer Phillips CarpentryRoofing
Concrete
Fireplace
Solar Other Other Other
Applicant 1 hereby ackn I dge hat I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and C f Fo Collins ordin s state laws regulating budding construction
Applicant Signature Print Name Jason Phillips Phone 970-556-7433
Distribution White -Office Yellow -Applicant Pink -WW1N/Stonnwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE