HomeMy WebLinkAbout314 Lupine Dr - Applications/Single Family New - 02/13/2014COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F®rt C®ll'1 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
f' y tnrwrvufcgovcorn/bullding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER "\ \ 00 `�� APPLICATION DATE 457? ^ �/ �lq
Job Site Address 314 Lupine Drive Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 512-369-3030
Last name Breckenridge -group fort collinsFirst
Middle
Street Address 530 Lupine Dr. city. Fort Collins State CO Zip 80524
CONTRACTOR INFO: Company Name aspen heights Construction IIc Contractor Phone # 512-369-3030
Lic Holder Name Rodger Frakes City of Fort Collins License #in process Supervisor Cert #
Mailing Address ' City Austin State TX Zip 78746
LEGAL INFO: ✓' ✓ol S' CcL f i4c"( of (eKa:5 9cWY
Subdivision/PUD Aspen Heights Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement), _ /3 17 'T Total Garage Sq Ft 0
Residential Sq Ft. Comm I Sq Ft 0 # of Stories 2 Bldg Height 31 r-6n # Dwelling Units 1
1° Floor Sq Ft 2^ Floor Sq Ft 710 3rd Floor Sq Ft 0 Unfrished Bsmt Sq Ft 0
0 2 2 1 �—
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths _ '/. Baths '/2 Baths # of Fireplaces
Air Conditioning: Ye_X 1 Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door fl
4. Simulated Performance Altemative❑ 5. Prescriptive w/Air Sealing ® 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # Dakota List appropriate option #s_ oL
UTILITIES INFO:
Water Tap Size 1 1 /2" Sewer Tap Size 4" Metered: Yes ENE] Temp. Pedestal Yes❑ No 191
Type of Heat � Gas ❑Electric Electric Main Breaker Size (Residential) only) ��150 Amp or Less � 200 Amp ❑Other
Value of Construction (including labor, materiall&& profit) Inc, 0 R�
Description of Work: ���w ( O ti' S � e/G ��C% �c t� �✓ �r�. y� b
Contact Name & Phone # of JOBSITE SUPERVISOR: Mark Shwartz 303-746-0444
Subcontractor Info:
Electrical
Framer
Solar Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant I hereby acknowledge that 1 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 Colons ordinances nd state laws regulating building construction.- II t
Applicant Signature Print NameWyV11C_AVV /iyTZ Phone 0 b —O H
Distdb on: White -Office Yellow -Applicant Pink -WWM/Stonnwater
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