HomeMy WebLinkAbout2736 Raintree Dr - Applications/Addition or Alteration - 12/07/2017 (2)City of
I 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 l APPLICATION DATE 12•*1 , F�
Job SiteAddressa?3G .free s4- Farr eoiG's Co Wo5Z& Unit
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # "I 7O t% q q FC
Last name�rin, i f j p ro pel-'�tr First Name /UI ec, �,� cJ �`%,G Middle
Street Address aG$a. �i^f.�P SOS d1-',Aft=W City IrVi^C StateL A-ziprla-in 1 a,
CONTRACTOR INFO: Company Name AFForcdcA,�/e- Contractor Phone # 710 -3 15 -- B 16S
Lic Holder Name 14QLA S Dr_ .. f i� City of Fort Collins License # i4,3710 R Supervisor Cert#
Mailing Address qk7_5 C%nn cif CityFederY Ae-5.41'-5 State GO zip 90 60
LEGAL INFO:
Subdivision/PUD Filing # Lot #
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 3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 1/4 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 # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No
Temp. Pedestal Yes or No
Type of Heat: ❑Gas [KElectric j Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp []Other
I r
Value of Construction (including labor, material & profit) $ �• J Go
Description of Work: Sfc, 11 AR L4 1 clfr Ai ✓e., t s anti( re o= /s.'ele,wa
it 5c.c X-5 For -
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Contact Name & Phone # of JOBSITE SUPERVISOR: HoLA s �a�.on 7.,_o , 315 - 015
Subcontractor Info:
Electrical Mechanical
Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
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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 Print Name 1-4q5 1)GM0/1L Phone 7d o-30 -8115
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
TFIIS APPI,ICATInild FYPIRFS inn nays FRAM APPLICATInm DATE