HomeMy WebLinkAbout3508 Rocky Stream Dr - Applications/Single Family New - 05/01/2014��t Collins
of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES .
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 JA QD v � APPLICATION DATE 4T' G I - I q
Job Site Address 3150o R4:c� ST/L-7A,tt t(L Unit #.
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 30-5 f6 f /30h
Last name fk-f�1,.J First Name 1USTrni Middle _`A/MZ5E>A
Street Address ���� �clL%LH City �'r f oW �S State CO Zip Bbs_28
Company Name
Lic Holder Name
Mailing Address
LEGAL INFO
Contractor Phone
City of Fort Collins License # Supervisor Cart #
Subdivision/PUD SeV ILNAj_j (!_ T Sit- tA4F— Filing # Lot # ; Block # Lot Sq Ft Z,69, Zlu i
0
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) 3 ,30 7- Total Garage Sq Ft O.0
I
Residential Sq Ft aJ _31D Comm'I Sq Ft N A. # of Stories Z Bldg Height E-1 ' 69 # Dwelling Units
1°' Floor Sq Ft Z., 7-Og, 2"d Floor Sq Ft 31d Floor Sq Ft. N )A Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 2- % Baths 2- '/ Baths I # of Fireplaces
Air Conditioning: No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w1Air 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 # List appropriate option
UTILITIES INFO:
t u
Water Tap Size 3/4 ' Sewer Tap Size Metered: es or No Temp. Pedestal Yes or No
Type of Heat: AGas ❑ Electric Electric Main Breaker Size (Residential only)
/�❑ 150 Amp or Less X200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ -1 Vl / i ZU W
Description of work: N Ztn) (onJ 9'f LJC:T7 e,f OF SIN GLZ ZZZS I t;,TeN l AL_ h w Z_LLI NEr
Contact Name & Phone # of JOBSITE SUPERVISOR: AUSTw ?ET _KS" 3�03 /O / / 30p
Subcontractor Info: c�
Electric tT � fit � Mechanical1�oA,17l4 �La CO A'K Plumbing �p>�® �
Framer At Roofing Concrete r-A57 - IN i�cAG Fireplace t+huTY 0dP-CrN
Solar
Other
Other
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 Collis ordinances a?d s ate laws regulating building construction.
Applicant Signature I"`'i � Print Name_,llUm4 PIG "-stx4 Phone u)3 *1 1391,q
I Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
TM1C Ann11/ AT1^\I =VMn=C ADn 1%AVa Cn^RA An011^AT1/1\I 11AT11=
City of
Fart Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER kJ140 21 cre APPLICATION DATE G— I _I 1
Job Site Address 3So$ Rp k Snz,yLt Tit Unit #
PROPERTY OWNER INFO: (All owner information is required- it is not optional) Phone # 303 /01 /30
Last name P Tv s,.1 First Name �`USTI/J Middle - A/H1:SEA
Street Address 3340 94n«K fLD City r.- "As State Co Zip e0528
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing
Contractor Phone
City of Fort Collins License # Supervisor Cart #
LEGAL INFO: c Subdivision/PUD <_'Ar1CTvAG,y Filing # Lot # Block # Lot Sq Ft
2 b
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 3307 Total Garage Sq Ft oka
�( I
Residential Sq Ft 3 3B Comm9 Sq Ft AlQ # of Stories 7—Bldg Height 2 1 '� # Dwelling Units
15' Floor Sq Ft Z, 2-08 2"d Floor Sq Ft �, o i4 31d Floor Sq Ft nl A_ Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 0z3 # of Bedrooms # of Full Baths Z % Baths z- '/2 Baths I # of Fireplaces
Air Conditioning: (-P 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
�f( u
Water Tap Size 3 `t Sewer Tap Size Metered: Q or No Temp. Pedestal Yes or No
Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential onl�y)/ �❑ 150 Amp or Less K200 Amp ❑ Other
Value of Construction (including labor, material & profit) $� r v 1 • 00
Description of Work: Nr 4j %/49- F UCH" 64-- .SW 67 Z_ ZY.$IRRjjj At— bW L'-W 1, r
Contact Name & Phone # of JOBSITE SUPERVISOR: Aus—mJ Rbmgs" �>03 / O 1 / 30p
Subcontractor Info: / //�� A
Electrical �Ic11ZA (SIC 7746- ,yoW,%%ilvlechanlcal /qr-A 4ZXA Co kK Plumbing IPA INC
Framer _T K Roofing
Solar
Other
Concrete (f,49r- IN ?CACu.- Fireplace QW. CrY N�l1ZEG(
Other
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 Colli S ordinances a d late laws regulating building construction. Q�
Applicant Signature �/ Print NameJtJmm ro Or '(� Phone383 q01 1308
Distribution: White -Office Yellow -Applicant Pink -WWW/Stonnwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE