HomeMy WebLinkAbout711 W Mountain Ave - Applications/Addition or Alteration - 02/10/2015Fort Collins
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COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
.lob Site Address711 W. Mountain Ave
NG PERMIT APPLICATION
APPLICATION DATE
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #970-690-3829
Last name Spivak First Name Scott Middle
Street Address 711 W Mountain ave CityFC StateCO ZIP80524
CONTRACTOR INFO: Company Name Site Solutions Contractor Phone #970-218-3390
Lic Holder Name Bran Stephenson
City of Fort Collins License # 666 Supervisor Cert #.
Mailing Address 1025 N Hwy 287 #3 CityFC State CO ZIp80524
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 Comm'I Sq
161 Floor Sq Ft
2nd Floor Sq
# of Stories Bldg Height # Dwelling Units
31 Floor Sq Ft
Unfiished Ssmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/4 Baths '/2 Baths # of Fireplaces
Air Conditioning: YeGon Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck wBlower Door ❑4. Simulated Performance Alternative❑ S. 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 []No El Temp. Pedestal Yes No
Type of Heat11 Gas 11Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less ❑ 200 Amp 00ther
Value of Construction (including labor, material & profit) $ $1 ,500.00
Descri Lion of Work:
nstall 1 Egress window and well per IRC code and engineer letter
Contact Name & Phone # of JOBSITE SUPERVISOR: Brian 970-218-3390
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
i
Solar Othhee Other Other
Applicant: I hereby ackno#ethdve read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Cityordinances and state laws regulating building construction.
ApplicantSignaturePrint Name Brian Stephenson Phone 970-218-3390
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE