HomeMy WebLinkAbout7015 Shady Bend Dr - Applications/Single Family New - 06/18/2012CityofCOMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F&` GQttins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgovAmm1buildJn9
BUILDING PERMIT APPLICATION
APPLICATION NUMBER U I�Q v 1 APPLICATION DATE
Job Site Address 7015 Shady Bend Drive Unit #
PROPERTY OWNER INFO- (AU owner infomtatlon Is required - It is not optional) Phone* 970-352-7072
Last name J&J Construction of Northern Colorado, LLC First Name Middle
Street Address 7251 W. 20th St #L200 City Greeley
CONTRACTOR INFO: Company Name
Contractor Phone
State CO Zip 80634
970-539-1373
Lic Holder Name Dean Pace City of Fort Collins License # Supervisor Cert #.
Mailing Address City State Zip
Subdivision/PUD Provincetowne Filing # 3 Lot # 15 Block #__j2_ Lot Sq Ft 6973
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2012 Total Garage Sq Ft 616
Residential Sq Ft 2012 Comm'I Sq Ft # of Stories 2 Bldg Height 27•5' # Dwelling Units
11 Floor Sq Ft 770 2"d Floor Sq Ft 1242
3n0 Floor Sq Ft
Unfrished Bsmt Sq Ft 676
Finished Bsmt Sq Ft # of Bedrooms 4 # of Fun Baths 2 % Baths 'A Baths 1 # of Fireplaces
Air Conditioning. YetAhl Energy info: (C*de appropmate dioce) 1. ComChedk 2. ResChedk w/Air Sealing 11
3. ResChedk w/Blower Door n4. Simulated Perfomtance AltemativeDx S. Prescriptive w/Air Sealing11 S. Prescriptive w/ Blower Doot[I
City of Fort Collins Stock Plan # 1916
List appropriate option #s
Nater Tap Size 3/4' Sewer Tap Size 4' Metered: Yes E]Nol:l Temp. Pedestal YesE]No
type of Heat: Iq Gas ❑Electric Electric Main Breaker Size (Residential only) F1150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 205,948.00 plus $350.00 for backfiow to sprinkler system
Description of Work: New single family residence TS2012
Dontact Name & Phone # of JOBSITE SUPERVISOR: Dean Pace 970-539-1373
Dectrical Fiske Electric
=ramer Curt Millard
iolar
Mechanical IMS Heating & Air
Roofing bob Behrends
Other
Concrete Cast in Place
Other
Plumbing T&C Plumbing
Fireplace Western Fireplace
Other
1pplicant: I hereby acknowledge that 1 have read this application nd state that the above information is correct and agree to comply with all requirements
bntained herein andOft of Fort
(C�olij�s ord� s to regulating building construction.
1pplicant Signature. k� "' 1: `�` Print Name Sue Borland Phone 970-352-7072
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
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