HomeMy WebLinkAbout925 Cheyenne Dr - Applications/Addition or Alteration - 04/27/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N College Ave - Fort Collins, CO 80524 - Phone 970-416-2740
www fcgov com/budding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER01$62 14 APPLICATION DATE 4 D -
t
Job Site Address y"-D uneyenne rarK Unit #
PROPERTY OWNER INFO. (All owner Information is required — it is not optional) Phone # �0
Last name Quirk First Name Michael Middle
Street Address 925 Cheyenne Park City Fort Collins State CO Zip
CONTRACTOR INFO Company Name Rose Custom Homes Contractor Phone # 970-226-1241
Lic Holder Name KIM ROSE
City of Fort Collins License # D-559 Supervisor Cert #
Mailing Address 5916 Sunny Crest Dr C,ty Timnath
State CO Zip 80547
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO, Total Budding Sq Ft (not induding basement)—' 2051 Total Garage Sq Ft 884
Residential Sq Ft mbngComm I Sq Ft NA # of Stones Bldg Height # Dwelling Units
1n Floor Sq Ft 2 6+yxisting 2n° Floor Sq Ft NA
3itl Floor Sq Ft Unfiished Bsmt Sq Ft NA
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths 1% Baths # of Fireplaces
Air Conditioning YerNo H Energy info ( Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing 11
3 ResCheck w/Blower Door n
4 Simulated Performance AltemativeF] 5 Prescriptive w/Air Sealing[,]( 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
Water Tap Size NA Sewer Tap Size NA Metered Yes ❑NoF] Temp Pedestal Yes❑ No 7
Type of Heat a Gas ❑ Electrc Electric Main Breaker Size (Residential only) R150 Amp or Less 1:1200 Amp ❑Other
Value of Construction (including labor material & profit) $ r3 W ?)2, C+�3 70
Description of Work
Garage addition adding to existing garage c0q)L4 Sq
Contact Name & Phone # of JOBSITE SUPERVISOR Kim Rose 970 226 1241
Subcontractor Info.
Electncai Delaneys Electric
Framer Rose Custom Homes
Solar
Applicant I hereby acknowb
contained herein and City of
Applicant
Mechanical Fort Collins Heating and Air Plumbing Corporate Plumbing
Concrete Rose Custom Homes Fireplace
Other
Other
that I#Ve read this application and state that the above information is correct and agree to comply with all requirements
PoW ordinances and state laws regulating building construction
Print Name Kim Rose Phone 970-226-1241
Distribution White — Office Yellow — Applicant Pink — W W W/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE