HomeMy WebLinkAbout827 Roma Valley Dr - Applications/Basement Finish - 09/30/2011Citty}off COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-4111-2740
www.fzgo%condbulNing
BUILDING PERMIT APPLICATION
APPUCATION NUMBER Yb ` o $ r _ _ APPLICATION DATE Wir l
Job Site Address 827 Roma Valley Drive Unit #
PROPERTY O NNER INFO: (All owner lnformatfon is required- it Is not optional) Phone # 970-282-0550
Last name Grillo. First Name William
Middle _
Street Address 827 Roma Valley - Drive Fort. Collins Co 80525
City State Zip
CONTRACTOR INFO Company Name Cleaf Cut Construction Contractor Phone # 970-556-5986
Lic Holder Name, Bradley Anderson City of Fort Collins License # . 78 supervisor Cert#.2615-DI
Mailing Address -P_OBox 272322 City Fort Co HnS state CO zp 80527
LEGAL INFO:
Subdivison/PUb #1912 Miramont Valley Filing ,# Lot # 67 Block # Lot Sq Ft 11037
CONSTRUCTION INFO: Total Building Sq Ft (not induding baswrtem) _ -- _ Total Garage Sq Ft.
Residential Sq Ft _ - _ Comm'l Sq Ft # of Stories Bldg Height # Dwelling Units
111 Floor Sq R 2n4Floor Sq Ft _____ 3'" Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 1154 # of Bedrooms # of Fu1--_. _ i Baths % Baths '/ Baths # of Fireplaces
Air Condid6ning. YeN Energy Info: ( Circle appropriate choice) 1. ComCheck - ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternatives S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doofl
City of Fort Collins Stock Plan # List appropriate option #s _
UTILITIES INFO:
Water Tap Size SewerTap.Sae Metered: Yes -]No[] Temp. Pedestal Yes❑ No
Electric Electric Main Breaker Size (Residenly) �150 Amp or less 200 Amp Other
Type of Heat. n Gas ❑
Value of Construction (including labor, material & profit) $J,ev
Description of
Finish appr
per
Contact Name & Phone # of JOBSITE SUPERVISOR: enact Anderson 970556.5988
Subcontractor Info•
Electrical Mac Electric Mechanical R&H Heating plumbing Aggie Plumbing
Framer Clear Cut Construction Roofing Concrete _ Fireplace .
Solar Other - Other Other _
Applicant I hereby actin that 1 h d i pli on and state that the above information is correct and agree to comply with an requirements
contained herein and City Co ' laws rung bung construction.
Applicant Signatu Print Name Bradley Anderson Phone 970-556-5986
Distribution: White - Office Yellow - Applicant Pink - WW W/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE