HomeMy WebLinkAbout2736 Raintree Dr - Applications/Addition or Alteration - 12/07/2017 (4)City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 971W.3 2k5 APPLICATION DATE I Z • 7 , 1
Job Site Address a73G frer- s,h Farr Coti.�f Ca; We SZ& Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # q'l %G
Last name-rri.-ity nroPe&'5 First Name 44/e .. oa /'7c� e % Middle
Street Address),6&1 41;r A P.I SO^ dr JCity = r ✓ire StateLi-zip q 2,61 a
CONTRACTOR INFO: Company Name &FarolaLe- Contractor Phone # 7d0 -3 t 5 - ells
Lic Holder Name UCLA 5)QA � 0 1 City of Fort Collins License # 3 710 A Supervisor Cert#
Mailing Address gk7.5 C-/iyl c,(" CityFeolerKl kv5.4i'-5 State CO zip go,'60
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
151 Floor Sq Ft
Finished Bsmt Sq Ft
2n' Floor Sq Ft
3" Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths _ '/< Baths '/z Baths # of Fireplaces
Air Conditioning: Yes No 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
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas [gElectric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp [:]Other
Value of Construction (including labor, material & profit) $ /, 6 5a �—
Description of Work: ZI SfA lied AP �� olr!. e/ ✓ems. t s Nn of roc"- /s.'cIe io it JG r'_,c5
7 6, !3 I! !),-' '
Contact Name & Phone # of JOBSITE SUPERVISOR: N0.nS DA^011 7 X o 3 15 — f 115'
Subcontractor InhQz
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 ordinances and state laws regulating building construction.
Applicant Signature ���l Print Name Hrn5 DC.rfa"V. Phone 7aC,-315-8l!$
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
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