HomeMy WebLinkAbout1116 Forget Me Not Ln - Applications/Change of Use - 10/04/2016City Of COMMUNITY 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 6j t , APPLICATION DATE 1 4 I (.
Job Site Address 1116 Forget -Me -Not Ln. Unit # N/A
PROPERTY OWNER INFO: (All owner information Is required — it Is not optional) Phone # (512) 369-3030
Last name Breckenridge Group Fort Collins Colorado, LLc First Name Middle
Street Address_ 1301 S. Capital of Texas Hwy, Ste. B-201 City Austin State TX Zip 78746
CONTRACTOR INFO: Company Name Aspen Heights Construction, LLC Contractor Phone # (512) 369-3030
Lic Holder Name Roger Frakes City of Fort Collins License # D748 Supervisor Cert# 3539D1
Mailing Address 1301 S. Capital of Texas Hwy., Ste. B-201 City Austin State TX Zip 78746
LEGAL INFO:
Subdivision/PUD Aspen Heights Subdivision Filing # N/A Lot #Tract A Block # Lot Sq Ft N/A
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1,757 Total Garage Sq Ft N/A
Residential Sq Ft 1,757 Comm'I Sq Ft 0 # of Stories 2 Bldg Height # Dwelling Units 1
15' Floor Sq Ft 698 2^d Floor Sq Ft 1,059 3rd Floor Sq Ft N/A Unfiished Bsmt Sq Ft N/A
Finished Bsmt Sq Ft N/A # of Bedrooms 5 # of Full Baths 5 % Baths 0 '/2 Baths 1 # of Fireplaces 0
Air Conditioning: YeZ Noo Energy info: ( Circle appropriate choice ) 1. ComCheck11 2. ResCheck w/Air Sealing 11
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 # 2029 List appropriate option #s
UTILITIES INFO:
Water Tap Size 3/4" Sewer Tap Size 4° Metered: Yes WINE] Temp. Pedestal Yes❑ No Z
Type of Heat: Fv-]' Gas Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit)
Description of Work:
Extra Occupancy Rental Housing conversion for 5 occupants. Original building permit issued for full build -out of dwelling,
with EORH conversion contemplated and fully disclosed. This building is in Phase 3 of the development. No additional physical work
was (lone Under this Permit All necessanit wnrk fnr ii ill accl ipancV was completed, inder the ocipill3al b, lilding permit
Contact Name & Phone # of JOBSITE SUPERVISOR: Roger Frakes (813) 299-5291
Subcontractor Info:
Electrical N/A
Framer N/A
Solar N/A
Mechanical
Roofing N/A
Other
N/A Plumbing N/A
Concrete N/A
Other
Fireplace N/A
Other
Applicant: I hereby acknowledge th 1 a e re this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of.Fort or inan es and state laws regulating building construction.
Applicant Signat a Print Name Larry Owen Phone (970) 226-0264
Distribution: White — Office Yellow —Applicant Pink — W W W/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE