HomeMy WebLinkAbout6244 WESTCHASE RD - APPLICATIONS - 11/30/2012City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 8OS24 • Phone: 970-416-2740
/ www.fcgov.coirn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1312CO (99 APPLICATION DATE 11- 30 _I A
Job Site Address 6244 Westchase Road
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 21 7-4001
Last name Berry First Name Scott Middle
Street Address 6244 Westchase Road City Fort Collins State CO Zip 80528
CONTRACTOR INFO: Company Name Poehlmann Construction Contractor Phone # 278-1930
Lic Holder Name Harry Poehlmann City of Fort Collins License # C1-131 Supervisor Cert # N/A
Mailing Address 1642 Fantail Court
LEGAL INFO:
city Fort Collins
Subdivision/PUD Filing # Lot #,
CONSTRUCTION INFO: Total Building Sq Ft (not including
State CO Zip 80528
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'[ Sq Ft # of Stories Bldg Height # Dwelling Units
1$' Floor Sq Ft
2nd Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft 154
Finished Bsmt Sq Ft 992 # of Bedrooms 1 # of Full Baths 0 '/4 Baths 1 % Baths 0 # of Fireplaces 0
Air Conditioning: YeGon Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes ❑NoF—1 Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $
30,100.00
Description of Work:
Finish 992sf of basement to include family room with wet bar, bedroom, exercise room, office and 3/4 bath
Leaving 154sf of unfinished space for storage/mechanical room
Contact Name & Phone # of JOBSITE SUPERVISOR: Shawn Arnold 567-0026
Subcontractor Info:
Electrical Gregory Electric Mechanical All Season Heating & Air
Framer Poehlmann Const Roofing N/A
Solar N/A
Other
Concrete N/A
Other
Plumbing Colorado Plumbing
Fireplace N/A
Other
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 or inances and state laws regulating building construction.
�� Mike Harper 278-1930
Applicant Signature_ rint Name er Phone p
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE