HomeMy WebLinkAbout3708 Green Spring Dr - Applications/Single Family New - 05/10/20111.
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
(m7x�61 www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER aI 1 0 I -L b O APPLICATION DATE 5A U/ l,
Job Site Address -ZqU$ rl EedJf -I t/I!S �/ Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name hjx"Uf 1 4G�K tSr11�� 4 First
Street Address�30 0 X G 'r f _
Middle
city_Fl. 61/r y'r State�Zip 965'z
CONTRACTOR INFO: Company Name I UA L) -( 400ge-5- Contractor iP�hone #
Lic. Holder NameF/A%i 1SCy--77—Cr�-- City of Fort Collins License # L— 570 Supervisor Cert #
3
Mailing Address?b -o x 2719 t City r) - C O1/ t A/J / State C O Zip �OS Z
LEGAL INFO: p
Subdivision/PUD ri�ir✓ (Ate- �(,�/ 7 ><I b/77&Wiling # yy Lot # 79
Block # Lot Sq Ft O/S�I
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) �� I Total Garage Sq Ft f ,5
Residential Sq Ft V 7 Comm'I Sq Ft 0 # of Stories
1st Floor Sq Ft P7 t 2nd Floor Sq Ft t*
# of Bedrooms L/ # of Full Baths 2
Bldg Height 77 # Dwelling Units I
Unfinished Bsmt Sq Ft %d d Finished Bsmt Sq Ft / 6 7-
% Baths '/z Baths e? # of Fireplaces 1—
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door E-Star
gw/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # 16 I d %List appropriate option #s
UTILITIES INFO:
1/
Water Tap Size _y4tI Sewer Tap Size L Metered es or No ���""" Temp. Pedestal: es or No
Type of Heat: C Gas ❑ Electric Electric Main Breaker Size (Residential only): y[ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ g d Z
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: t1AT
Subcontractor Info:
Electrical
/�eLAAJ91 Mechanical flies +robu e7S PIumbing�Ili Ic
Framer 6 'ry W Roofing ��� S Concrete VA Other
Applicant: I hereby acknowledge that I have re9d tVis application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Colf s o i c and state laws regulating building construction. � t
Applicant Signature Print Name t//IT tC%%G%,� Phone y�7 S7-T3
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
CONSTRUCTION WASTE MANAGEMENT PLAN
Required as part of Approved Construction Plans
Address -97d
Permit No.
PR03ECT INFORMATION
1�ee,c/S,P/Li.uO •�� �� g O S Z 8�
E
General Contractor & Contact Info: C tr X U 2 Y Op r1 t S
940Z-5633 tMAW
CONSTRUCTION WASTE MANAGEMENT PLAN
Complete this table or attach a more detailed plan
Material
Vendor retrieving the material
Facility recycling the material
Concrete
I ES
kAuFrMAN cs--
row, S.-CTZ-C'ry rhq loyet u
Wood/Lumber
Ikc,
PAtxim6 -901'tl Z
f.6 E MAW t A z 11 G `(C t- G
as6l
Metals
i
Al'yt S: , tivl / - 96%(
It -too E. MuLYScirZT FJ Cbl &S
60(o N a k8Z- 3o7-
Cardboard
))� /
OAul,iti/( b �S'liliyZ
S �Q S `TA'FT 2 h r) lot))wS
Zgrrimei T G Q- -13Z
S 3a
Notes
(1) At minimum, the four listed materials must be recycled.
(2) Enter vendor name and phone number. If the applicant will haul the material themselves,
state such.
(3) Where will applicant or vendor take the material for recycling? Enter facility name and
address.