HomeMy WebLinkAbout3102 Chase Dr - Applications/Single Family New - 05/14/2012City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE
Job Site Address3102 Chase Drive Unit #2
PROPERTY OWNER INFO: (All owner Information Is required -it is not optional) Phone #970-412-9605
Last name Fort Collins Habitat 4 Humanity First Name Middle
Street Address 4001 S. Taft Hill Rd. cityFOrt Collins StateCO ZIP80526
CONTRACTOR INFO: Company Name F.C. Habitat 4 Humanity Contractor Phone #970-412-9605
Lic Holder Name John Sailer City of Fort Collins License # Supervisor Cart #
Mailing Address 4001 S. Taft Hill Rd. city Ft. Collins State CO zip80526
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Subdivision/PUDRigden Farm Filing #6 Lot#M6 Block #_ Lot Sq Ft16596
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1,334 Total Garage Sq Ft N/A
Residential Sq Ft 1,334 Comm'I Sq Ft 0 # of Stories 2 Bldg Height 23' # Dwelling Units 1
1s' Floor Sq Ft 884 2^ Floor Sq Ft 450 3" Floor Sq Ft 0 Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 0 # of Bedrooms 3 # of Full Baths 2 % Baths 0 /2 Baths 0 # of Fireplaces 0
Air Conditioning: Ye�]No V Energy into: ( 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 # 1826 List appropriate option #s
UTILITIES INFO:
Water Tap Size 3/4 Sewer Tap Size 4 Metered: Yes Nor Temp. Pedestal Yes❑ No
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Type of Heat: Gas ❑Electric Electric Main Breaker Size (Residential only) W1150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 101,25
Description of Work:
Wood frame 1.5 story singe family over crawl space, with no garage separate garage building perm)
Approved Affordable Housing Project
Contact Name & Phone # of JOBSITE SUPERVISOR: John Sailer 970-412-9605
Subcontractorinfo:
Electrical L. David Electric
Framer Habitat
Solar
Mechanical FadnesS Heating and Air Plumbing Aggie Plmg.
Roofing Habitat Crete 0V rrlam Conc. Fireplace
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 Collins ordinances and state laws regulating building construction.
Applicant Signature /f PrintNameJohn Sailer Phone 970-412-9605
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/ THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE