HomeMy WebLinkAbout7051 Shady Bend Dr - Applications/Single Family New - 05/29/2012CityofCOMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6i< �. - ti s 281 N. College Ave. • Fort Coffins, CO 80524 • Phone: 970416-2740
wwwficillemconAndlitilling
BUILDING PERMIT APPLICATION
APPLICATION NUMBER) I LV J { APPLICATION DATE
Job Site Address 7051 Shady Bend Drive Unit #
PROPERTY OWNER INFO: (AU owner Irrfb...w on is required— It is not optional) Phone # 970352-7072
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 # 970539-1373
Lic Holder Name Dean Pace City of Fort Collins License # Supervisor Cart #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Provincetowne Filing # 3 Lot # 21 Block # 12 Lot Sq Ft 6266
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1604 Total Garage Sq Ft 664
Residential Sq Ft 1604 Comm'i Sq Ft # of Stories 2 Bldg Height 26� #Dwelling Units
1" Floor Sq Ft
814
2"d Floor Sq Ft
790
31d Floor Sq Ft
Unfiished Bsmt Sq Ft 357
Finished Bsnd Sq Ft # of Bedrooms 3 # of Full Baths 2 % Baths % Baths 1 # of Fireplaces
Air Co►rdli7on/rtg Ye�l� Energy firlb: (t in:la appropriate d,oaoe } 1. ComChedc 2. ResChedk wlAir Beefing
3. ResCheck wBlower Door114. Simulated Performance Aitemative❑x 5. Prescriptive w/Air Seafingll 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # l� l� List appropriate option #s
Water Tap Size 3/4' Sewer Tap Size 4' Metered: YesMNT� Temp. Pedestal YBSEINo ED
Type of Heat: f Gas []Electric Electric Main Breaker Size (Residential only) D150 Amp or Less R 200 Amp ❑Other
Value of Construction (including labor, material & profit) $168038.60 plus $350.00 for backilow to sprinkler
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Description of Work_ New single family residence SL1604
Contact Name & Phone # of JOBSITE SUPERVISOR: Dean Pace 970-539-1373
Electrical Fiske Electric
Framer Curt Millard
Solar
Mechanical IMS Heating & Air Plumbing T&C Plumbing
Roofing bob Behrends
Other
Concrete Cast in Place
Other
Fireplace Wester Fireplace
Other
4pplioant 1 hereby adcnowledge that I have read this a pGcation a state that the above information is correct and agree to comply with all requirements
xirrtained herein and f Fort Colh�rdi s r e laws ulattng building construction.
4ppiicant Signature ;7J\ Print Name Sue Borland Phone 970-352-7072
Distribution: White —Office Yellow —Applicant Pink —WWW/Stonnwater
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