HomeMy WebLinkAbout7027 Shady Bend Dr - Applications/Single Family New - 05/31/2012City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FO, ` Gothn s 281 N. College Ave. • Fort Coffins, CO 80524 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION
APPLICATION NUMBER/ APPLICATION DATE
Job Site Address 7027 Shady Bend Drive Unit #
PROPERTY OWNER INFO- (All owner information is required - it is not optional) Phone # 970-352-7072
Last name Journey Homes, LLC First Name
Middle
Street Address 7251 W. 20th St #L200 City Greeley State CO Zip 80634
CONTRACTOR INFO: Company Name Contractor Phone # 970-539-1373
Lic Holder Name Dean Pace City of Fort Collins License # Supervisor Cert #
Mailing Address City
LEGAL INFO:
State Zip -
Subdivision/PUD Provincetowne Filing # 3 Lot # 17 Block # 12 Lot Sq Ft 5719
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1604 Total Garage Sq Ft 664
Residential Sq Ft 1604 Comm9 Sq Ft # of Stories 2 Bldg Height 26 #Dwelling Units
1" Floor Sq Ft 814 2n° Floor Sq Ft
790
31 Floor Sq Ft
Unfiished Bsmt Sq Ft 357
Finished Bsmt Sq Ft # of Bedrooms 3 # of Full Baths 2 % Baths % Baths 1 # of Fireplaces
Air Conditioning- YeEMx Energy info: ( Circle appropriate choice) i. Comcheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Btower Door n4. Simulated
Performance Aftemative❑x 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Doofl
City of Fort Collins Stock Plan # ' I List appropriate option #s
UTILITIES INFO:
Water Tap Size 314' Sewer Tap Size 4" Metered: Yes X Temp. Pedestal YesM No
Type of Heat: El Gas ❑Electric Electric Main Breaker Size (Residential only) D150 Amp or Less a 200 Amp nOther
Value of Construction (including labor, material & profit) $ 168038.60 plus $350.00 for backfiow to sprinkler �7 p
Description of Work: New single family residence SL1604 I
Contact Name & Phone # of JOBSITE SUPERVISOR: Dean Pace 970-539-1373
Electrical Fiske Electric
Framer Curt Millard
Solar
Mechanical IMS Heating & Air
Roofing bob Behrends
Other
Concrete Cast in Place
Other
Plumbing T&C Plumbing
Fireplace Western Fireplace
Other
4pplicant I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements
;ontained herein and City ort Collins ordinan nd state laws reg lating building construction.
4pplicant Signature Print Name Sue Borland Phone 970-352-7072
Distribution: White —Office Yellow —Applicant Pink —WWW/Stormwater
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