HomeMy WebLinkAbout2626 Clarion Ln - Applications/Basement Finish - 06/29/2015City of
Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ` I CI O Z APPLICATION DATE Ca IZGlt I I s
Job Site Address 2626 Clarion Ln. Ft Collins CO Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970-556-0789
Last name Lovendahl (JONISC) First Name Jonah Middle
Street Address 1713 E. Lincoln Ave B-3 City Fort Collins State CO Zip 80524
CONTRACTOR INFO: Company Name ACC Roofing, Inc. Contractor Phone # 970-493-2801
Lic Holder Name Jonah Lovendahl
City of Fort Collins License # D2-82 Supervisor Cert # 1293-D2
Mailing Address 1713 E Lincoln Ave B-3 City Fort Collins State CO Zip 80524
LEGAL INFO:
Subdivision/PUD Maple HIII Filing # Lot # 5 Block # 9 Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1332
Total Garage Sq Ft 528
Residential Sq Ft 2665 Comm'I Sq Ft # of Stories 1 Bldg Height 10' # Dwelling Units
1 1 Floor Sq Ft 1332
2nd Floor Sq Ft 0 3f0 Floor Sq Ft
Unfiished Bsmt Sq Ft 1332
Finished Bsmt Sq Ft # of Bedrooms 3 # of Full Baths 2 '/< Baths 1 '/2 Baths # of Fireplaces
Air Conditioning: YeS Non Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative 6. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less 11 200 Amp 0Other
Value of Construction (including labor, material & profit) $--2"8940' Z-I O 1 3S
Description of Work:
Basement Finish, adding 1 bathroom, 2 bedrooms, 1 family room
Contact Name & Phone # of JOBSITE SUPERVISOR: Jonah Lovendahl 970-556-0789
Subcontractor Info:
Electrical Delaneys Electric Mechanical Northern Colorado Air
Framer
Solar
Roofing
Other
Concrete
Other
Plumbing Evans Plumbing and Heating
Fireplace
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 Md � c-t (0,t" W Phone 92a-y/ 23
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE