HomeMy WebLinkAbout2715 Rockford Dr - Applications/Basement Finish - 06/13/2016Fort 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 / 1 \// tJ 13 C� �� APPLICATION DATE6I1 3I1 6
.lob Site Address 2715 Rockford Drive
Unit #104 Basement Finish
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970-460-0567
Last name LaGrange Land, iic First Name Middle
Street Address
1170 West Ash Street, Ste 100
CONTRACTOR INFO: Company Name
Lic Holder Name Jonathan Mosier
City. Windsor state Co zlp 80550
Landmark Construction Solutions, Inc Contractor Phone # 970-460-0567
Mailing Address 1170 West Ash Street, Ste 100
City of Fort Collins License Z2-102 Supervisor Cert # 2605-C2
_ CityWindsor State CO Zip80550
LEGAL INFO:
Subdivision/PUD LaGrange at Ridgen Farm Filing # 2nd Lot # 2 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft na # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
Finished Bsmt Sq Ft 440
2nd Floor Sq Ft _
# of Bedrooms 1
3'd Floor Sq Ft na
# of Full Baths 1 3/ Baths
Unfiished Bsmt Sq Ft
'/2 Baths 0 # of Fireplaces 0
Air Conditioning: Yes 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 #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes❑ No Temp. Pedestal Yes No ❑
Type of Heat: 0as Ellectric Electric Main Breaker Size (Residential only) 50 Amp or Less D00 Amp Dther
2
Value of Construction (including labor, material & profit) $ 8 I � , '5 � �
Description of Work:
Basement Finis
Contact Name & Phone # of JOBSITE SUPERVISOR:Wylie DepeW 970-833-0125
Subcontractor Info:
Electrica,Casey's Electric
Framer AGC
Solarna
Mechanical Academy Heating & Coolin Plumbing Nemorks Mechanical
Roofing na
Other
Concrete na
Other
Fireplace na
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
Jon Mosier Phone 970-460-0567
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE