HomeMy WebLinkAbout1727 Beam Reach Pl - Applications/Single Family New - 02/17/2015City of COMMUNITY DEVELOPMENT t& NEIGHBORHOOD SERVICES
6rtFCollinsll281 N. College Ave. • Fort Collins, CO 80522-0580 Phone: 970.221.6760
www.fcgov.conv/buIIdIng
BUILDING PERMIT APPLICATION
APPLICATION NUMBER S h D I— L APPLICATION DATE
Job Site Address 1727 Beamreach Place, Unit #
PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone # (71 9) 641-1223
Last name LOIdOIt First Name Matthew Middle Ray
Street Address 1340 Fairview Dr city Fort Collins State CO Zip 80521
CONTRACTOR INFO: Company NamS Contractor Phone # _ �� I t� (sU I -)m
Lic Holder NameCity of Fort Collins License # Supervisor Cert #
Mailing Address I3i-10 GRIay\`zw D2 City F--Dai Gau n S State 06 Zip gbSZ(
LEGAL INFO:
Subdivision/PUD Richard's Lake Filing # 1 Lot # 2 Block # Lot Sq Ft 7880
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) 1 874 Total Garage Sq Ft
Residential Sq Ft 1874 Comm'I Sq Ft 0 # of Stories 1 Bldg Height # Dwelling Units 1
1" Floor Sq Ft 1874 2rd Floor Sq Ft 0 31d Floor Sq Ft 0 Uhfiished Bsmt Sq Ft 1874
Finished Bsmt Sq Ft 0 # of Bedrooms 3 # of Full Baths 2 3/. Baths 0 '/x Baths 0 # of Fireplaces 1
Air Conditioning -As No Energy Info: ( circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Alr Sealing (/ 6./Prescriptive wl Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size 3/4 Sewer Tap Size MelereAs or No Temp. PedestaWas or No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less V200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ Q1 \Q
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: Matt LOldolt (71 9) 641 -1223
Subcontr
Electrical Roy's Electric Mechanical Northern Colorado Air Plumbing Highland Plumbing
Framer Thunderbolt Builders Roofing Concrete Swab Concrete Fireplace Western Fireplace Supply
NA
Solar
Other Fossil Creek Drywall
Other Community Insulation and Dryw�bther Barton Supply
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 o-rdinannsces and slate laws regulating building construction.
Applicant Signature %�'Gr(L ,L Bleb Print Name Matt Loidolt Phone (719) 641-1223
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater