HomeMy WebLinkAbout5233 Fox Hills Dr - Applications/Addition or Alteration - 07/22/2015City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 o Phone: 970-416-2740
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER B 15 0 5'J l l APPLICATION DATE - a a- I J
Job Site Address 5233 Fox Hills Drive Unit #
PROPERTY OWNER INFO: (All owner information is required- it is not optional) Phone # 970-420-4874
Last name Milliken First Name Mike & Jeanne Middle
Street Address 5233 Fox Hills Drive City Fort Collins State CO Zip 80526
CONTRACTOR INFO: Company Name Armstead Construction, Inc. Contractor Phone # 970-472-1113
Lic Holder Name Jeffrey J. Schneider City of Fort Collins License # D-362 Supervisor Cert # 2286-D1
Mailing Address PO BOX 330 City La Porte State CO Zip 80535
LEGAL INFO:
Subdivision/PUD Clarendon HIIIS Filing # Lot # 1 1 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq
1S1 Floor Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/< Baths Y Baths # of Fireplaces
Air Conditioning: YerNoU Energy info: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. 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 ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 26,200.00
Description of Work:
add a +/- 230 square foot enclosed porch to the back of the existing home to include 6 recessed can and 1 ceiling fan.
This space is to be unconditioned
Contact Name & Phone # of JOBSITE SUPERVISOR: Jeffrey J. Schneider 970-566-9971
Subcontractor Info:
Electrical Olesen Electric
Mechanical N/A
Plumbing N/A
Framer Armstead COnst. Roofing Gold Roofing Concrete Armstead Const.
Solar N/A
Other
Other
Fireplace N/A
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 F lin ordin fate laws regulating building construction.
Applicant Signature Print Name Jeffrey J. Schneider Phone 970-566-9971
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE