HomeMy WebLinkAbout479 Conifer St - Applications/Single Family New - 12/30/2013COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
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Fort Collins
281 N. College Ave. " Fort Collins, CO 80524 " Phone: 970-416-2740
www.fcgov eom/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER / L APPLICATION DATE
Job Site Address 479 Conifer St. Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 512-369-3030
Last name Breckenridge Grp -Ft Collins First Name Middle
Street Address 530 Lupine Dr. CiyFt. Collins State CO Zip 80524
CONTRACTOR INFO: Company Name Aspen Heights Const, LLC Contractor Phone #512-369-3030
Lic Holder Name Roger Frakes City of Fort Collins License # In Process Supervisor Cert #
Mailing Address 1301 S.Capital of TX HWY city, Austin State TX -zip 78746
LEGAL INFO:
Subdivision/PUD Aspen Heights Filing# Lot# Block# Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (rot indudmg tosemert) 2168 Total Garage Sq Ft
Residential Sq Ft 2168 Comml Sq Ft # of Stories 2 Bldg Height 29'5" # Dwelling Units 1
1" Floor Sq Ft 1084 2nd Floor Sq Ft 1084 W Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms 5 # of Full Baths 5 % Baths % Baths 1 # of Fireplaces
Air Conditioning: Yez Vo Energy Into: ( Circle appophate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door fl 4. Simulated Performance AltemativeD 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
Plan City of Fort Collins Stock Plan A -Basin List appropriate option #s
UTILITIES INFO:
Water Tap Size 2" Sewer Tap Size 4" Metered: YeszNo1:1 Temp. Pedestal Yes❑ No W1
Type of Heat 0 Gas ❑Electric Electric Main Breaker Size (Residential only) D50 Amp or Less W] 200 Amp DOther
Value of Construction (including labor, material & profit) E , - -
Description of Work:
New Construction Single Family
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby adurowledge 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 Print Name Phone
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE