HomeMy WebLinkAbout3450 Lost Lake Pl - Applications/Basement Finish - 08/13/2012F6City
t` Collins
of
APPLICATION
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
Job Site Address 3450 Lost Lake Place
UILDING PERMIT APPLICATION
APPLICATION DATE " —(3 /
Unit # F-1
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name Bromell First Name Ian & Emma Middle
Street Address 3450 Lost Lake Place F -1 city Fort Collins State CO Zip 80528
CONTRACTOR INFO: Company Name Poehlmann Construction Contractor Phone # 278-1930
Lic Holder Name Harry. Poehimann
Mailing Address.
LEGAL INFO:
Subdivision/PUD
1642 Fantail Court
City of Fort Collins License # C1-131 Supervisor Cert # N/A
city Fort Collins
Filing # Lot #
State CO Zip 80528
Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
111 Floor Sq Ft
Finished Bsmt Sq Ft 820
2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft 216
# of Bedrooms 2 # of Full Baths 0 % Baths 1 '/ Baths 0 # of Fireplaces 0
Air Conditioning: YeGoP Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ❑Noll Temp. Pedestal Yes❑ No
Type of Heat: nGas Electric Electric Main Breaker Size (Residential only) F]150 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $ 25,000.00
Description of Work:
Finish 820 sq/ft of basement to include family room, two bedrooms, 3/4 bath and unfinished mechanical room
Contact Name & Phone # of JOBSITE SUPERVISOR: Shawn Arnold 567-0026
Subcontractor Info:
Electrical Gregory Electric Mechanical
Framer_POehImann COnSt Roofing N/A
Solar N/A
Other
All Season Heating & Air
Concrete N/A
Other
Plumbing Colorado Plumbing
Fireplace N/A
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 Print Name Mike Harper Phone 278-1930
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THUS A P'IP'L UCATI OGN iEM P'UR ES 180 DAYS FROM AIP'fP LUCATOGH DATE