HomeMy WebLinkAbout315 Green Leaf St - Applications/Duplex - 08/16/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
B LDING PERMIT APPLICATION
APPLICATION NUMBER F� / /ram APPLICATION DATE' I I VP
Job Site Address t ; z' 1.: Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # % O ,,L/ P
Last name Revive Properties LLC First Name Middle
Street Address PO Box 720 City Ogallala state NE Zip 69153
CONTRACTOR INFO: Company Name Philgreen Construction Inc Contractor Phone #970 672 0089
Lic Holder Name David Phillips
City of Fort Collins License # B-400 Supervisor Cert # 1089
Mailing Address 1414 Blue Spruce Drive City Ft Collins State Co Zip 80524
LEGAL INFO: 7CP-3
Subdivision/PUD Union Place Filing # 2nd Lot # re, Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2052 Total Garage Sq Ft 440
Residential Sq Ft 2052 Comm'I Sq Ft # of Stories 2 Bldg Height 28 # Dwelling Units 2
V^� AP1'
15' Floor Sq Ft 794 2^tl Floor Sq Ft *268 75 $ ,Floor Sq Ft `5-o Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms 3 # of Full Baths 2 % Baths 1 '/ Baths 1 # of Fireplaces
Air Conditioning: YerNon Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door❑ 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # 2027 List appropriate option #s i
UTILITIES INFO:
Water Tap Size 1 Sewer Tap Size 4" Metered: Yes W]NoFl Temp. Pedestal Yes[Z] No ❑
Type of Heat: ® Gas Electric Electric Main Breaker Size (Residential only) 7150 Amp or Less 200 Amp Other
Value of Construction (incl ding labor, material & profit) $ 304,000
Description of Work: I;`.'r-.0-o `,-I n rnv"y'Q
New Duplex
Contact Name & Phone # of JOBSITE SUPERVISOR: David Phillips 970 222 8989
Subcontractor Info:
Electrical ALR
Mechanical Perfect Temp Plumbing
Framer TNT Construction Roofing Independent Roofing Concrete
Solar
Other
Other
McEvoy Brothers
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 o -Fort Collins 7rdirtaces and state laws regulating building construction.
Applicant Signature r 1� Print Name Dave Phillips Phone 970 222 8989
Distribution: White —Office Yellow —Applicant Pink—WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE