HomeMy WebLinkAbout2736 Raintree Dr - Applications/Addition or Alteration - 12/05/2017 (3)City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER b 1'1 10 O :R ` (0 APPLICATION DATE I S I I-1
Job Site Address)-Z36 Ra,-n, > ree s,ll, Ford eoi6-As Cat Bo52 b Unit # 13Vrld,l� H
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 5170 - ,kJ- (a
Last name -rrin. it Y n ro n erf y s First Name z117 t,e % a i- Middle
Street Address G81 /L1_r./ f SG--t dr City I r V tie State/ --zip q
CONTRACTOR INFO: Company Name AFFarda�le Contractor Phone # 72.0 -315 - B 115
Lic Holder Name 14pn 5 c ,a r•_ City of Fort Collins License # H _3 71 A Supervisor Cert#
q c t m City reole«tt Ae:yli1'5 ( a1,7.5 Mailing Address State CD zip '?C 60
LEGAL INFO:
Subdivision/PUD Filing #.
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm] Sq Ft
15' Floor Sq Ft
Finished Bsmt.Sq Ft
291 Floor Sq Ft
Lot # Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd 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 #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) $ 0 , a. on
Description of Work: Insfa tied AP_L✓ drae/ ✓e t 5 % u1 roac /s`ciP L,ia tt Jac X_5 FZ71—
A .. . - . , /
Contact Name & Phone # of JOBSITE SUPERVISOR: NanS Vci~ ' 7,_o - 3 15 - 91 15
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 ��7 Print Name DC.ri'0ti Phone 7aO-315-8tt$
Distribution: White - Office Yellow - Applicant Pink - WWW/Stonnwater
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