HomeMy WebLinkAbout3908 Rock Creek Dr - Applications/Multi Family New - 05/21/2012 (2)F)
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City of
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 91 go '-m s APPLICATION DATE �Ir�IG�
Job Site Address
W
Unit #
PROPERTY OWNER INFO: (All owner information
is required - it is not optional) Phone # Jy T 0
Last name T J TDI `r/(00! rif�Nf//�jsFirst JN�a,,me A Middle
�,4 Street Address lglq S. $►�1^, VK� CitState (fop Zip F02 .
CONTRACTOR INFO: Company N'a�mee, E, Contractor Phone # � O 5�6�} 9
Lic Holder Name City of Fort Collins License # C2 - 1/Supervisor Cert # 3
Mailing Address /s 4!F7c/Vems. City State Zip
LEGAL INFO:
Subdivision/PUD w1 tL0?,' 8W < Filing # u Lot # 21i Block # �' Lot Sq Ft Z
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) '/ ?'?' Total Garage Sq Ft 1 4 �d
Residential Sq Ft "o pComm'I Sq Ft # of Stories Bldg Height 33 #Dwelling Units
1s' Floor Sq Ft 1 '`61 2"d Floor Sq Ft Z.b0� 3rd Floor Sq Ft Unfiished Bsmt Sq Ft 5e�L.
Finished Bsmt Sq Ft — # of Bedrooms _:�l # of Full Baths 69 3/4 Baths-3-1/2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door /4Simulated Pecrfo/rmance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # / S(/J7 List appropriate option #s
UTILITIES INFO:
Water Tap Size _� Sewer Tap Size _1 Metered: es or
Type of Heat: Gas ❑ Electric Electric Main Breaker Size. (Residential only)
Value of Construction (including labor, material &profit) $ �
3- 4g+
Description of
No Temp. Pedestal es r No
A50 Amp or Less ❑ 200 Amp ❑ Other
Contact Name & Phone # of JOBSITE SUPERVISOR: CQA \ VNa-&
Subcontractor Info: /' ,� .'�-w p,,,�,
Electrical (.�(l L+WI Mechanical C�C�t/tr,1 W W-5 Plumbing prrlAl .�, I7 ram'/• f�(/f
Framer Ir "ram AS Roofing Concrete Fireplace Wi�J 3",
Solar Other Other Other
Applicant: I hereby acknowl e I have r d this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of ort o ins ordi nces and state laws regulating building construction. q�1
Applicant Signature Print Name "�'"'I ` Aj GS Phone ITV Vu 97)7.
str' ution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS A LICATION EXPIRES 180 DAYS FROM APPLICATION DATE