HomeMy WebLinkAbout2017 Springfield Dr - Applications/Addition or Alteration - 07/11/2016COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. -Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER a L `r t�� d L 0 APPLICATION DATE 1
,lob Site Address2017 Springfield Dr, Ft Collins, 80521 Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional)
Last name Poland First NameMichael
Street Address 2017 Springfield Dr cityFt Collins Stateco ZIP80521
CONTRACTOR INFO: Company Name Owner
Lic Holder Name
Phone #720-519-9005
Middle Eric
Contractor Phone #
City of Fort Collins License # Supervisor Cert #
Mailing Address City State zip.
LEGAL INFO:
Subdivision/PUD Miller Bros South Foothills
Filing # 1 St Lot #27 Block # Lot Sq Ft8800
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1 285 Total Garage So Ft 200
Residential Sq Ft 1285 Comm'I Sq Ft # of Stories—1 Bldg Height 1 StOn/ # Dwelling Units
1-1 Floor Sq Ft 1285 20d Floor Sq Ft
3rd Floor Sq Ft _
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 1090 # of Bedrooms 5 # of Full Baths 1 % Baths 1 Y. Baths 1 # of Fireplaces 0
Air Conditioning: Ye No0 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 []No[] Temp. Pedestal Yes❑ No
Type of Heat: Gas ❑Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $ 19 f 0
Description of Work:
Install three windows in basement: Remove existing window, Use existining header, cut larger opening in foundation wall.
Two windows located at North end of house: One window located at south end of house
Install thrpp npw wonrinmi iiypllc to COrip
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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 ordipappes and state laws regulating building construction.
Applicant Signature ���Print NameMichael Poland Phone720-519-9005
Distribution: White — Office Yellow —Applicant Pink —WWW/Stormwater
THIS AfPPUCA' iOH EXPIRES 180 DAYS FROM APPLICATION DATE