HomeMy WebLinkAbout4701 Strauss Cabin St - Applications/Other - 07/26/2018City of ' II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ www.fegov.eom/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1�� W W (1 1 APPLICATION DATE 07-26-2018
Job Site Address 4701 Strauss Cabin Road, Fort Collins, CO Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 702-998-9088
Last name Amid First Name RON Middle
Street Address 6655 S. Eastern Ave. #120 city Las Vegas State NV Zip 89119
CONTRACTOR INFO: Company Name Miller Wall Company contractor Phone # 303-426-0802
Lic Holder Name
Mailing Address 401 W. 62nd Ave
LEGALINFO:
Subdivision/PUD
City of Fort Collins License # Supervisor Cent #.
city Denver State CO Zip 80221
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
151 Floor Sq Ft
Comm'I Sq
2n0 Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3" Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces
Air Conditioning: Ye�]Non 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 Doom
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes[] NoF-1 Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas Electric Electric Main Breaker Size (Residential only) 0150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 25,585
Description of Work:
2 Tier Retaining
Contact Name & Phone # of JOBSITE SUPERVISOR: Sam Carter, 303-882-2287
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 Print Name Luke Burgett Phone
303-426-0802
Distribution: White - Office Yellow - Applicant Pink - WNAN/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE