HomeMy WebLinkAbout2736 Raintree Dr - Applications/Addition or Alteration - 12/07/2017 (3)City of
II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone- 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER t�>1-46832-I APPLICATION DATE 12 - r7 . 17
Job Site Addressa736 Ra..,. tree- s,1- Farr Ca/ 052 io Unit # Q'uild.nc �
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 70 - 6J
o`) 11,FR
Last name f rcti i ty proPerfNS First Name o"- Middle
Street Address a G$1 /L1,_;_f.A Q SOS dr o Aft=9 City .I r Vtne StateL� Zip r1 16 ( a
CONTRACTOR INFO: Company Name AFiroro Ale. Contractor Phone # 7W -315 - g1lS
Lic Holder Name Na_„ 5 a ^n City of Fort Collins License # 7la A Supervisor Cert #
Mailing Address q %.5 [�iy1 c f City Feo�erKi fne-g.h�5 ` State CO Zip B0,1 60
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq Ft
1s' Floor Sq Ft
2ntl Floor Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3r° Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/< Baths '/2 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 #s.
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) $ 319 0 C1
Description of Work: lei Sfw 11ec.! A? L / o(r,4e/ ✓e, I- 5 xAc4 roc= /s.,de Lao, it 5ac rc5 f-oa-
Contact Name & Phone # of JOBSITE SUPERVISOR: HOL. s 7,L0 - 3 15 - 9115
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 Collins ordinances and state laws regulating building construction.
Applicant Signature i9a;?9- Print Name Hg..-Ls /)artati Phone 7j,0 -315 -8115
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIR APPI IrATinm FYPIRFq 4An nays FRAM APPLICATInm OOTF