HomeMy WebLinkAbout6713 HOLYOKE CT - APPLICATIONS - 11/4/2013City of
6rt Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
wwwfcgov.com/buiiding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER B I3` 5-75 I APPLICATION DATE_ /// [
Job Site Address 6713 Holyoke Court Unit #
PROPERTY OWNER INFO: (All owner Information is required- it is not optional) Phone # (812) 272-7851
Last name Bell First Name Margie Middle
Street Address 6712 Holyoke Court City Fort Collins State CO Zip 80525
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
Maiiing Address 1642 Fantail COurt city Fort Collins State CO Zip 80528
LEGAL INFO:
Subdivision/PUD Filing# Lot#
Leicg1-101111GAILei gIuIYe -
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units
1" Floor Sq Ft
2ntl Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft 257
Finished Bsmt Sq Ft 919 # of Bedrooms 1 # of Full Baths 0 3/4 Baths 1 '/ Baths 0 # of Fireplaces 0
Air Conditioning: YeGon Energy info:( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck wBlower Door ❑4. Simulated Performance Alternative ❑ 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door (�
City of Fort Collins Stock Plan # List appropriate option #s 1 t
UTILITIES INFO: \�
Water Tap Size Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ No ❑ "Q
Type of Heat: a Gas1-1 Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 27,850.00
Description of Work:
Finish 919sf of basement to include family room with wet bar, bedroom and 3/4 bathroom
Leave 257sf of unfinsihed space for mechanical and storage
Contact Name & Phone # of JOBSITE SUPERVISOR: Shawn Arnold 567-0026
Subcontractor Info:
Electrical Gregory Electric Mechanical All Season H&A Plumbing Colorado Plumbing
Framer Poehlmann
Solar
Roofing
Other
Concrete
Other
Fireplace
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 ordinances and state laws regulating building construction.
Applicant Signatur �� �--�— Print Name Mike Harper Phone 278-1930
Distribution: White — Office Yellow —Applicant Pink —WVWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE