HomeMy WebLinkAbout2633 Conquest St - Applications/Single Family New - 08/08/2019City of
FY 6rt Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
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WPLICATION NUMBER: ?2l "l� (j Sq I APPLICATION DATE: p ' —1
Job Site Address 2633 Conquest Street
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name Hartford Construction, LLC First Name
Street Address 4801 Goodman Street City Timnath
Phone # (970) 674-1109 Email permits@hartfordco.com
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name Hartford Construction, LLC
License Holder Name Charles D. Atwood
LEGAL INFO:
Subdivision/PUD East Ridge Filing # 2 Lot # 6 Block # 5 Lot Sq Ft 6200
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) 1645 Total Garage Sq. Ft. 597
Residential Sq Ft 1645 Commercial Sq Ft # of Stories 2 Bldg Ht 25 # of Dwelling Units 1
1st Floor Sq Ft 858 2nd Floor Sq Ft 787 3rd Floor Sq Ft n/a Unfinished Basement Sq Ft 801
Finished Basement Sq Ft n/a # of Bedrooms 3 # of Full Baths 2
% Baths 0 % Baths 1 # Fireplaces 0
ENERGY INFORMATION: (CHECK ONE)
Unit#
Middle _
State CO
Zip 80547
LIC # B-493 CERT # 660-B
(Simulated Performance
ComCheck ElUA (ResCheck) ig SPAAlternative) ❑ PreSCflptive❑ ERI(Energy Rating Index) El
Air Conditioning? YES FV/] NO ❑
City of Fort Collins Approved Stock Plan # SP0 2236 List Option #s 1 & Elevation 2
UTILITIES INFO: Gas a Electric ❑ Electric Temp. Pedestal Yes FVI No ❑
Electric Main Breaker Size (Residential Only): 150 amp or less 8 200 Amp ❑ Other ❑
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
For Commercial remodels and tenant finishes. please answer the following questions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing Tenant❑ New Tenant❑
If for a new tenant, is this the first tenant to occupy this space?
Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space?
Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No ❑
If yes, please describe:
Value of Construction (materials and laborl: $ 185,755
�escriution of work: New single-family residence with Prairie Elevation and Unfinished Basement
JOBSITE SUPERVISOR CONTACT INFO: Name Nate Bottenberg Phone (970) 397-1098
SUBCONTRACTOR INFO: Electrical Precision Service Electric Mechanical Northern Colorado Air
Plumbing Bershinsky Plumbing Framing MAH Contracting LLC Roofing Bob Behrends Roofng
Fireplace Solar Other Engineer: CTL Thompson
ASBESTOS STATEMENT DISCLOSURE: In accordance with the Stote of Colorado Senate Bi1113-152,property owners, applying for a
remodel permit,shall indicate their awareness about their property having been inspected for Asbestos Containing Materiols(ACM's).
❑ I do not know if an asbestos inspection has been conducted on this property.
❑ An asbestos inspection has been conducted on this property on or about(enter date)
❑ An asbestos inspection has not been conducted on this property.
Applicant: I hereby acknowledge that 1 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 Type or Print Name B�ittany Stfinge�
Phone# (970) 6 -1109 Email permits@hartFordco.com
TFIIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE