HomeMy WebLinkAbout5851 Dripping Rock Ln - Applications/Basement Finish - 10/27/2014City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F61+t Collins
IS 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER M�066^6 APPLICATION DATE V D` a 7- b y
Job Site Address 5851 Dripping Rock Lane
Unit # B-104
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # (484)238-5689
Last name RIZOl First NameJim & Carolyn Middle
street Address 5851 Dripping Rock Lane city Fort Collins State CO Zip 80528
CONTRACTOR INFO: Company Name Poehlmann Construction Contractor Phone #278-1930
Lic Holder Name Harry Poehlmann City of Fort Collins License # C1-131 Supervisor Cert # 1366-C1
Mailing Address 1642 Fantail Court city Fort Collins State CO An 80528
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
V1 Floor Sq Ft
Finished Bsmt Sq Ft 387
Comm'I Sq
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3'd Floor Sq Ft
# of Bedrooms 0 # of Full Baths 0 % Baths 1
Unfiished Bsmt Sq Ft 211
'/ Baths 0 # of Fireplaces 0
Air Conditioning: Ye�]Non Energy info: ( 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 #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ONE] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ZElectric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 11,750.00
Description of Work:
Finish 387sf of basement to Include family room, 3/4 bathroom and storage closet
Leave 211sf of basement unfinished for mechanical and storage rooms
Contact Name & Phone # of JOBSITE SUPERVISOR: Shawn Amold 567-0026
Subcontractor Info:
Electrical Gregory Electric Mechanical All Season H&A
Framer Poehlmann
Solar n/a
Roofing n/a
Concrete n/a
Other Freedom Fire Protection 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.
Mike Harper 278-1930
Applicant Signature) Print Name er Phone p
Distribution: White —Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE