HomeMy WebLinkAbout4014 Rock Creek Dr - Applications/Duplex - 03/28/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. - Fort Collins, CO SOS24 - Phone: 970-416-2740
/N� www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER UI v APPLICATION DATE — Z S I
Job Site Address 4014/4016 Rock Creek Dr Unit #
PROPERTY OWNER INFO: (All owner information is required —it is not optional) Phone
Last name Houts Construction and Development First ,___David Houts
Street Address 3721 Precision Dr, Unit # 314
(970) 227-5539
Middle
city Fort Collins State CO Zip 80528
CONTRACTOR INFO: Company Name Gray's Construction Contractor Phone # (970) 567-0003
Lic Holder Name Richard Gray
City of Fort Collins License # D-540 Supervisor Cert #
Mailing Address 7215 Aztec City Cheyenne State Wy Zip 82009
LEGAL INFO:
Subdivision/PUDSunrise Ridge Filing # First Lot # 11 Block # Lot Sq Ft 22680
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 3764 Total Garage Sq Ft
1122
Residential Sq Ft 3764 Comm9 Sq Ft # of Stories 1 Bldg Height 20 # Dwelling Units 2
1� Floor Sq Ft 3764 2nd Floor Sq Ft 31' Floor So Ft � Unfiished Bsmt Sq FtI U I
Finished Bsmt Sq Ft J� # of Bedrooms # of Full Baths I Baths x 4 1/2 Baths 12 # of Fireplaces /� 2
Air Conditionin . Ye ✓ No Energy into: ( Circle appropriate choi 10) 1. ComCheck 2. ResCheck w/Air Sealing11
. Ror� esCheck w/Blower Do4. 5. Prescriptive w/Air Sealing S. Prescriptive w/ Blower Door)
City of Fort Collin:
UTILITIES INFO:
List appropriate option #s 1. 2. 3. 4
Water Tap Size 3/4" Sewer Tap Size Metered: Yes Fv(]NoF] Temp. Pedestal Yes[Z] No
Type of Heat: Gas nElectric Electric Main Breaker Size (Residential only) W1150 Amp orLess 200 Amp Other
Value of Construction (including labor, material & profit) $ (y 4 tI q W 1 2-0 ( ' 690
Description of Work:
Application is submitted with site specific foundation, structura s and site plan.
Contact Name & Phone # of JOBSITE SUPERVISOR: Richard Gray (970) 567-0003
Subcontractor Info:
Electrical Binder Electric
Framer MC Builders, LLC
Solar Other
Mechanical IMS
Plumbing Action Plumbing
Flores Roofing Concrete Recio Construction Fireplace. IMS Heating and Air
Other
Other
Applicant: I hereby acknowledge that Im.read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fortes ces and state laws regulating building construction.
Applicant Signature<- -, � Print Name David Houts Phone (970) 227-5539
Distribution: White —Office Yellow —Applicant Pink—WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE