HomeMy WebLinkAbout1218 Gold Dr - Applications/Single Family New - 12/06/2016City of
I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�t Collins 281 N. College Ave. - Fort Collins, CO 80524 - Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER g I l Q t o w 1 APPLICATION DATE
Job Site Address 1218 Gold Drive
PROPERTY OWNER INFO: (All owner Information Is required— It Is not optional)
Last name CCC - Fort Collins LLC First Name
Street Address 431 Office Park Drive
CONTRACTOR INFO: Company Name Cottage Builders, Inc.
Lic Holder Name Randy Davis
Mailing Address 431 Office Park Drive
I_q_=1CnA MGIi�A
Subdivision/PUDCapstone Cottages
Unit # N/A
Phone # (205) 414-6400
Middle
City Birmingham
Contractor Phone
_ State AL Zip 35223
(205) 414-6480
City of Fort Collins License # C2-129 Supervisor Cert # 3979-C2
City Birmingham State Alabama Zip 35223
Filing # 20160044405 Lot # 120 Block # N/A Lot Sq Ft 3546
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1800 Total Garage Sq Ft 0
Residential Sq Ft 1800 Comm'I Sq Ft 0 # of Stories 2 Bldg Height 28 4 " # Dwelling Units
1s' Floor Sq Ft 900
Finished Bsmt Sq Ft 0
2n° Floor Sq Ft 900
3i° Floor Sq Ft 0
# of Bedrooms 5 # of Full Baths 5
3/4 Baths 0
Unfiished Bsmt Sq Ft 0
/s Baths 0 # of Fireplaces 0
Air conditioning: Ye g✓ No� Energy info: ( Circle appropriate choice) 1. ComCheck11 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door❑4. Simulated Performance Alternative S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan # 2153e List appropriate option #s_Model A - Option 3 - Oakland
UTILITIES INFO:
Water Tap Size 1" Sewer Tap Size 4„ Metered: Yes W]NoF] Temp. Pedestal Yeso No W1
Type of Heat: Fv/1 Gas Electric Electric Main Breaker Size (Residential only) W1150 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $ $154,620.00
Description of Work:
Construction of a 5 bedroom single family cottage
Contact Name & Phone # of JOBSITE SUPERVISOR: Ben McMullen - (205)484-405e
Subcontractor Info:
Electrical _ TBD
Framer TBD
Solar N/A
Mechanical Kimbel Mechanical
Roofing TBD Concrete TBD
Other N/A
Other N/A
Plumbing Kimbel Mechanical
Fireplace N/A
Other N/A
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 stale laws regulating building construction.
Applicant Signature
�vc2 Nolen She Nolen (205) 414-6480
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE