HomeMy WebLinkAbout2736 Raintree Dr - Applications/Addition or Alteration - 12/07/2017 (11)City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
_F6rt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 APPLICATION DATE ' 77
Job Site Address:L73G RG,:1. > ree- silt, For.;- Coil,-s Car Ro5z& Unit # s—[j
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PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 70 - a ,)_ 6 '" y qg _
Last name-rr i,' i ty proper*First Namur v/ ILI e5 r, Middle
Street Address a G$ 1 Aj r,A ?. I SOS dr CitStateZip q a a -
CONTRACTOR INFO: Company Name AF-ForAA.�Ie. Contractor Phone # 7afl -315 — 6'll5
Lic Holder Name Ng„ S f)C; A-,I-P/.. City of Fort Collins License # Lgi37 /GR Supervisor Cert#
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Mailing Address q k7.5 [ lm G t- City FeorerL( Itc:5.4eS State GO zip r?C,) 60
LEGAL INFO:
Subdivision/PUD Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
ls' Floor Sq Ft
Finished Bsmt Sq Ft
Comm'I Sq Ft
2nd Floor Sq Ft
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/4 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 [KElectric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
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Value of Construction (including labor, material & profit) $ 3Tk So
Description of Work: -T A 0 6 tied AP L✓ era e/ ✓e. t s an a( rao - /s'c e't io, it ,j r�r_ rc`S ) 0cr
ADd -F 1 , ;�_ , ri, 5 .g; c1, I a_
41rar:do4le ijiit caerecr airy coal-- SS es �ci alr F� lie fS 1
Contact Name & Phone # of JOBSITE SUPERVISOR: 140LA S DA^PA, 7" - 3 1 S 8 115
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 ��-.1 Print Name (- r.1 S Dacron Phone 7a2 o -315 -8115
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
TNIR APPI_ICATIAN FYPIRFR ism nays FRAM APPLICATIAN nATE