HomeMy WebLinkAbout4919 Bluestem Ct - Applications/Basement Finish - 12/13/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www fcgov comibuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 2 // / / / . �/ APPLICATION DATE ! CD,
Job Site Address 4919 Bluestem Court
Unit #
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone # 206-9906
Last name McCurdy First Name Mike & Kellie Middle
Street Address 4919 Bluestem Court City Fort Collins State CO Zlp 80525
CONTRACTOR INFO: Company Name Poehlmann Construction Contractor Phone # 278-1930
Lic Holder Name Harry Poehlmann
City of Fort Collins License # C1-131 Supervisor Cert # N/A
Mailing Address 1642 Fantail Court city Fort Collins
LEGAL INFO:
State CO Zip 80528
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comml Sq
15' Floor Sq Ft
2"d Floor Sq Ft
# of Stories Bldg Height
3rd Floor Sq Ft
# Dwelling Units
Unfiished Bsint Sq Ft 233
Finished Bsmt Sq Ft 655 # of Bedrooms 1 # of Full Baths 0 '/. Baths 1 Y Baths 0 # of Fireplaces 0
Air Conditioning: Ye�]Non Energy info: ( Circle appropriate choice ) 1. ComCheck11 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes ❑NoF] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 19,900.00
Description of Work:
Finish 655 sq/ft of basement to include 1 bedroom, 3/4 bath and family room.
Leaving 233 sq/ft of unfinished storage + mechanical
Contact Name & Phone # of JOBSITE SUPERVISOR: Shawn Arnold 567-0026
Subcontractor Info:
Electrical Gregory Electric
Mechanical All Season Heating & Air Plumbing Colorado Plumbing
Framer Poehlmann Const Roofing N/A
Solar N/A
Other
Concrete N/A
Other
Fireplace N/A
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 of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature -��/` Z ,2 _ —Print Name Mike Harper Phone 278-1930
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Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE