HomeMy WebLinkAbout3430 Sam Houston Cir - Applications/Shed - 11/11/2015v r:, Cr6
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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 LJ APPLICATION DATE 1 1 /1 1 /15
Job Site Address 3430 Sam Houston Circle Unit #
PROPERTY OWNER INFO_ (All owner information is required — it is not optional) Phone # 970-223-3343
Last name Uhrich First Name Bruce Middle
Street Address 3430 Sam Houston Circle City Fort Collins State CO Zip 80526
CONTRACTOR INFO: Company Name
Lic Holder Name Adrian Jones
Frameworks Timber Contractor Phone # 970-568-4900
City of Fort Collins License # D-672 Supervisor Cert #
Mailing Address 208 Racquette Dr Unit B City Fort Collins
LEGAL INFO:
Subdivision/PUDWagon Wheel
Filing # 2nd Lot # 7
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 121
Residential Sq Ft 0
1"' Floor Sq Ft 121
Finished Bsmt Sq Ft
Comm9 Sq Ft 0
2n' Floor Sq Ft 0
State CO Zip 80524
Block # 14 Lot Sq Ft 7712
Total Garage Sq Ft
# of Stories 1 Bldg Height 12'-5" # Dwelling Units
31d Floor Sq Ft 0
Unfiished Bsmt Sq Ft 0
# of Bedrooms 0 # of Full Baths 0 '/4 Baths 0 '/2. Baths 0 # of Fireplaces 0
Air Conditioning: Ye 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/Air Sealing 6. Prescriptive w/ Blower Door[
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes [—]No[—] Temp. Pedestal Yes❑ No 0
Type of Heat: D Gas1-1 Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less 11 200 Amp 0Other
Value of Construction (including labor, material & profit) $
Description of Work:
New 8x11 storage shed, with 3x8 front porch. All space is unconditioned.
Contact Name & Phone # of JOBSITE SUPERVISOR: Peter Grant, 303-514-0833
Subcontractor Info:
Electrical Wray Electric
Framer Frameworks
Solar N/A
Mechanical N/A
Roofing Elite Roofing
Other N/A
Plumbing N/A
Concrete Warner Concrete
Other N/A
Fireplace N/A
Other N/A
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 ell ordinances and state laws regulating building construction.
Adrian Jones 970-568-4900
Applicant Signature Print Name Phone
Distribution: White -Office Yellow -Applicant Pink - WWW/Stonnwater
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