HomeMy WebLinkAbout318 E Foothills Pkwy - Applications/Gas - Log, Line, Pipe - 04/27/2017City of I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ wwwAft9ov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER e) M a aa30 APPLICATION DATE*4ff 4 a1 1 -7
Job Site Address LOT 3 - ADJACENT TO 318 EAST FOOTHILLS PARKWAY Unit #
PROPERTY OWNER INFO: (All owner Information is required - It Is not optional) Phone # 7203604724
Last name KRASNOW First Name BEN Middle
Street Address 1404 LARIMER STREET cityDENVER State CO ZIP80202
CONTRACTOR INFO. Company Name WEITZ Contractor Phone # 303-860-6615
Lic Holder Name
City of Fort Collins License # Supervisor Cart #
Mailing Address 4725 SOUTH MONACO STREET C,ty DENVER State CO Zip 80237
Subdivision/PUD FOOTHILLS MALL REDEVELOPMENT Filing # PA3 Lot # 3 Block # Lot Sq Ft 190,560
CONSTRUCTION INFO: Total Building Sq Ft (na including basement) 512 Total Garage Sq Ft 0
Residential Sq Ft Comm'I Sq Ft # of Stones 1 Bldg Height 12' # Dwelling Units 0
1° Floor Sq Ft 512
Finished Bsmt Sq Ft 0
2"d Floor Sq Ft 0
3n° Floor Sq Ft U
Unfiished Bsmt Sq Ft U
# of Bedrooms 0 # of Full Baths 0 % Baths 'Y2 Baths # of Fireplaces 0
Air Conditioning: Yeao'O' Energy Info. ( Cirde appropriate choice ) 1 ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door H4 Simulated Performance Alternative[] S. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
List appropriate option #s
Water Tap Size n/a Sewer Tap Size n/a Metered Yes l:]Noz Temp Pedestal Yes❑ No ❑
Type of Heat Rj Gas ❑Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material 8 profit) $ 4,000
Description of Work:
NEW CONSTRUCTION OF FIRE PIT WITHIN CURRENTLY PERMITED COURTYARD AREA
Contact Name & Phone # of JOBSITE SUPERVISOR: DAN MCINTOSH -THE WEITZ COMPANY - (720) 273.1312
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 Co s ordinances a fate laws regulating building construction
Applicant Signature Print Name DALE SANDERS Phone 3038953039
Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater
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