HomeMy WebLinkAbout712 Cambridge Dr - Applications/Addition or Alteration - 09/22/2017City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
wwvKfcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER rD APPLICATION DATE
Job Site Address 712 Cambridge Drive Unit #
PROPERTY OWNER INFO. (All owner Information Is required — it is not optional) Phone #
Last name Smith, Matthew and Ward -Smith, Rebecca First Name
970-682-0146 (Matt)
Middle
Street Address 712 Cambridge Drive City Fort Collins State CO Zip 80525
CONTRACTOR INFO Company Name Associates in Building & Design, Ltd Contractor Phone # 970-225-2323
Lic Holder Name Bob D Peterson
Mailing Address 4803 Innovation Drive Suite 1
LEGAL INFO:
City of Fort Collins License # C1-195 Supervisor Cert # 626
_ City Fort Collins State CO Zip 80525
Subdivision/PUD 1252- Cottonwood Filing # Lot # 95 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
151 Floor Sq Ft
2nd Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/, Baths '/2 Baths # of Fireplaces
Air Conditioning Yes✓ Non Energy info (circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing 11
3 ResCheck w/Blower Door ❑ 4 Simulated Performance Alternative❑ 5 Prescnptive w/Air Sealing 6 Prescnptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size existing Sewer Tap Size existing Metered Yes 7NoF] Temp Pedestal Yes❑ Now]
Type of Heat FvJ Gas Electnc Electric Main Breaker Size (Residential only) 1:1150 Amp or Less1:1 200 Amp Other
Value of Construction (including labor, material & profit) $ 25,000
Description of Work
Approximately 644 sgft of Kitchen/Living Room remodel Removing non-structural walls to create new open layout
Minor electrical & plumbing work for new layout and appliances New gas line for new range Replacing a window with a 3'-0" x 6'8" Door
Contact Name & Phone # of JOBSITE SUPERVISOR: Ron White 970-420-0325
Subcontractor Info:
Electrical Overlook Electric
Framer ABD, Ltd
Solar N/A
Mechanical Fort Collins Heating & Air Plumbing Independent Plumbing Solutions
Roofing N/A
Other
Concrete N/A
Other
Fireplace N/A
Other
Applicant I hereby acknowle I that I have read t us application and state that the above information is correct and agree to comply with all requirements
contained herein and City of angstaattelaws regulating building construction
MR;
ce
Applicant Signature •'• el"%__� Print Name Alison Johnson Phone 970-225-2323
Distribution White — Office Yellow —Applicant Pink — WWW/Stonnwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE