HomeMy WebLinkAbout3214 Reedgrass Ct - Applications/Basement Finish - 06/04/2020City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. •Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fceov.com/building
BUILDING PERMIT APPLICATION
FOR OFFICE USE
APPLICATION NUMBER: B2005744 APPLICATION DATE: 6/4/2020
#Joii:Ste;Address` 3214 Reedgrass Ct Unit#
PROPERTY bV11NER'INFOe (AII owner information is required — NOT optional)
Last Name p� I First Name arc l� Middle a ny)
Street Address '� ) L- al ovrl i- CaA City -Fon f C Mi n S State (�j Zip $ D,�"2 j
Phone # 910' 2 31— �,ZXEmail S v;,�0-\ �
Name Of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name
License Holder Name LIC # CERT #
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft.
Residentia(Sla"Ft, Commercial Sq Ft # of Stories Bldg Ht # of Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft Su)
Finished Basement Sq Ft -# of Bedrooms 1 # of Full Baths
Baths 1 % Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
COmCheck El (Simulated Performance UA (ResCheck) ❑ SPA Alternative) ❑ Prescriptive[]ERI(Energy Rating Index) El
Air Conditioning? YES ❑ NO ❑
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas Electric ❑ Electric Temp. Pedestal Yes ❑ No ❑
Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 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 k 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 b�J No ❑
If yes, please describe: E:-AnGus+ —Pgy1 \
e of Construction (r'natp-riaisand labor):; +$ ` Iff81i5?C 22 ,%2
GsP vti .ea rocs b -1 O s q fit- -�'i n ts�eci 5 D�a
Description of Work:: "�' —�
JOBSITE SUPERVISOR CONTACT INFO: Name Sarah Siple Phone 970-231-6288
SUBCONTRACTOR INFO: Electrical
Plumbing Framing
Fireplace Solar
Mechanical
Roofing
Other
ASBESTOS'STATEMENT-'DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
re�model�pe mit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (RCM's).
4.Y 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: 1 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's Typ2 or Pnfi Name�4VQh �i (Jl c
PFiote#i 11( — Z3I—'6m ',Email; Ssra���e_tJa at�. rp
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE