HomeMy WebLinkAbout5621 Evening Primrose Ln - Applications/Basement Finish - 02/03/2011.Cityof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER IIyV�1V APPLICATION DATE
.lob Site Address5621 Evening Primrose Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone
Last name Rudzinski First Name Brandt
850-449-0412
Middle
Street Address 5621 Evening Primrose citvFort Collins stateCO Zip80528
CONTRACTOR INFO: Company Name Timber Creek Builders Contractor Phone #970-556-1649 Cell
Lic Holder Name Jason Phillips City of Fort Collins License # D-621 Supervisor Cert # 2766-D 1
Mailing Address PO BOX 1608
LEGAL INFO:
cityFort Collins State CO Zip80522
Subdivision/PUDPlank - Kasey's Garden Filing # Lot #41 Block # Lot Sq Ft
CONSTRUCTION INFO, Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft 2nd Floor Sq Ft _
Finished Bsmt Sq Ft ,74W 694 . # of Bedrooms 1
3rd Floor Sq Ft
# of Full Baths 1 '/< Baths
Unfiished Bsmt Sq Ft _
YZ Baths # of Fireplaces
Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes No Temp. Pedestal Yes No
Type of Heat: I Gas Electric Electric Main Breaker Size (Residential
only) 150 Amp or Less 200 Amp Other
Value of Construction (including labor,. material & profit) $
Description of Work:
Basement Finis - Finish remainder of the basement with e addition of a bedroom, bathroom, an a .
'a c�� lc1�3353
Contact Name & Phone # of JOBSITE SUPERVISOR: Jason Phillips 970-556-1649 cell, tcb@timber-creek-builders.com
Subcontractor Info:
Electrical Triple G Electric Mechanical Custom Heating & Air Plumbing Haas Plumbing
Framer
Solar
Roofing
Other
Concrete
Other
Fireplace
Other
Applicant: I hereby acknowle a th t I have read thismiplication and state that the above information is correct and agree to comply with all requirements
contained herein and CityFort Ilins ordinanga�, te laws regulating building construction.
Applicant Signature F Print Name J a so n Phillips Phone 970-556-1649
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THUS APPLICATION EXPIRES 180 DAYS FROM APPILICAi OOK CAT[