HomeMy WebLinkAbout5852 Mercury Dr - Applications/Addition or Alteration - 11/13/2015City of OMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For tCollinsll281 N. College Ave. - Fort Collins, CO 80524 - Phone: 970-416-2740
/ www fagov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER R I601i) I —1c`2- APPLICATION DATE I l- 13 - I S
Job Site Address5852 Mercury Dr Unit #
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone #970-221-5245
Last name Manzanares First NameBarbara Middle
Street Address 5852 Mercury Dr City.FC StateCo ZIP80526
CONTRACTOR INFO: Company Name Site Solutions Contractor Phone #970-218-3390
Lic Holder Name Brian Stephenson
Mailing Address 330 West St
City of Fort Collins License # 666 Supervisor Cert #
city FC
State CO ZIp80521
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comml Sq Ft # of Stories Bldg Height # Dwelling Units
1S1 Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq
3'd Floor Sq Ft
Unftished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '% Baths # of Fireplaces
Air Conditioning: Ye�]NoH 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 #s
Water Tap Size Sewer Tap Size Metered: Yes ONo❑ Temp. Pedestal Yes❑ No ❑
Type of Heat: DGas1-1 Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 1500
Description of Work:
Install 1 Egress window per IRC and Engineer letter
Contact Name & Phone # of JOBSITE SUPERVISOR: Brian Stephenson 970-218-3390
Subcontractor Info:
Electrical
Framer Roofing
Solar Other
Applicant: I hereby acknowled&1hat I have
contained herein and City of Fort Collin
Applicant
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
s app4at19Pdnd state that the above information is correct and agree to comply with all requirements
and st aws regulating building construction.
Print NameBrian Stephenson Phone 218-3390
White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE