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HomeMy WebLinkAbout912 Rocky Rd - Applications/Addition or Alteration - 12/21/2017City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES F6rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER •� �/ vAPPLICATION DATE��rl� Job Site Address 912 Rocky Road PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #_ Last name Hofferber First Name George Unit # Middle Street Address 912 Rocky Road cityFort Collins State CO Zip 80521 CONTRACTOR INFO Company Name Complete Basement Systems 11 Contractor Phone # 303-805-8751 11 Lic Holder Name Rodney Martin City of Fort Collins License # 106057 Supervisor Cert # Mailing Address 11795 E 45th Ave City Denver State CO Zip 80239 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 G Bldg Height # Dwelling Units _ il 15' Floor Sq Ft 2nd Floor Sq Ft 3'd FloorbSq Ft Unfiished Bsmt Sq Ft _ Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths Yz Baths # of Fireplaces Air Conditioning YerNoU Energy info ( Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing 3 ResCheck w/Blower Door ❑4 Simulated Performance Alternative❑ 5 I` Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option #s UTILITIES INFO: y Water Tap Size Sewer Tap Size Metered Yes l:]Non Temp Pedestal Yes© No Type of Heat D Gas 4 Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less1:1 200 Amp Other Value of Construction (including labor, material & profit) Description of Work Foundation Stal on 35,000 Contact Name & Phone # of JOBSITE SUPERVISOR: Armando Galindo Subcontractor Info: Electrical Framer Roofing Mechanical Concrete Plumbing Fireplace Solar Other Otherii 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 `-� Print Name Kayla Montez Phone 303-805-8751 i Distribution White — Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE I