HomeMy WebLinkAbout812 Rochelle Cir - Applications/Addition or Alteration - 06/08/2015City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER � C/ ' 69 73 APPLICATION DATE 6.8.2015
Job Site Address 812 Rochelle Circle Unit #
PROPERTY OWNER INFO:
(All owner
information is required -it is not optional) Phone # 970-225-0281
Last name �`Fi�t'' _'1 First Name Wade Middle
Street Address 812 Rochelle Circle City Fort Collins State CO Zip 80526
CONTRACTOR INFO: Company Name Frameworks Timber
Contractor Phone # 970-568-4900
Lic Holder Name Adrian Jones City of Fort Collins License # D672 Supervisor Cert #_
Mailing Address 208 Racquette Dr Unit B City Fort Collins State CO Zip 80524
LEGAL INFO:
Subdivision/PU Cl Filing 4'3� Lot # 6r— Block # - Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)%2600- -
Total Garage Sq
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 s' Floor Sq Ft 2nd Floor Sq Ft-1-06 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq FKDoor
# of Bedrooms _4 # of Full Baths�-2�%-Baths '/2 Baths # of Fireplaces
Air Conditioning:No Energy info: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing
3. ResCheck w/Blo. SimulatedPerformance Alternative ❑ 5. Prescriptive w/Air Sealing11
6. Prescriptive w/ Blower Door[
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes ENoF1 Temp. Pedestal Yes❑ No ❑
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit)
Description of Work:
Remodeling existing patio. Addition of timber frame pergola structure eplace and/or add on
Contact Name & Phone # of JOBSITE SUPERVISOR: Peter Grant, 303-514-0ee3
concrete patios.
as necessary.
Subcontractor Info:
Electrical Wray Electric Mechanical N/A Plumbing DPH Inc
Framer Frameworks Timber Roofing N/A Concrete Warner Concrete Fireplace DPH Inc
Solar Other Other Other
Applicant: I hereby acknowled t I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City o 0 ollin ordinances nd state laws regulating building construction.
Applicant Signatur Print Name Adrian Jones Phone 970-568-4900
Distribution: White - Office Yellow -Applicant Pink - WWW/Storrnwater
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