HomeMy WebLinkAbout3237 Shallow Pond Dr - Applications/Basement Finish - 08/09/2010City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
S 281 N College Ave Fort Collins, CO 80524 Phone 970-416-2740
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BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE
Job Site Address 3237 Shallow Pond Drive Unit #
PROPERTY OWNER INFO. (All owner Information Is required - it is not optional) Phone # 970-225-2976
Last name Glasser First Name Jeffrey Middle
Street Address 3237 Shallow Pond Drive city FORT COLLINS State CO ZIP 80525
CONTRACTOR INFO Company Name CJR Construction Contractor Phone # 970-490-2962
Lic Holder Name Bruce Brown
City of Fort Collins License # D554 Supervisor Cert #
Mailing Address 124 Fishback Avenue city FORT COLLINS state CO Zip 80521
LEGAL INFO.
Subdivision/PUD FOSSII Lake PUD Filing # 1 St Lot # 8 Block # 5 Lot Sq Ft 9263
CONSTRUCTION INFO. Total Building Sq Ft (not Including basement) 3487sf none added Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft # of Stories Bldg Height # Dwelling Units
1° Floor Sq Ft
2' Floor Sq Ft
3itl Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '6. Baths # of Fireplaces
An Conditioning Yei5on Energy Info ( Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing 11
3 ResCheck w/Blower Door ❑ 4 Simulated Performance Alternative❑ 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Doofl
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO,
Water Tap Size Sewer Tap Size Metered Yes ❑Nol:l Temp Pedestal Yes❑ No
El
Type of Heat El Gas Electnc Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor material 8 profit) $7 9.
Descnpbon of Work
Finish basement with one 3 4 bathroom living room exercise room and storage
Contact Name 8 Phone # of JOBSITE SUPERVISOR Cynthia Reiner
Subcontractor Info.
Electrical Lary Eight Electrics Mechanical
Framer
Solar
Roofing
Other
Concrete
Other
Plumbing Aggie Plumbing
Fireplace
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 ort Collins ordinances and state laws regulating building construction
Applicant SignaturiL Print Name Cynthia RefFler Phone 970-490-2962
Distribution White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE