HomeMy WebLinkAbout914 W LAKE ST - APPLICATIONS - 6/9/2011Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www fegov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER V APPLICATION DATE �
Job Site Address 914 West Lake Street Unit #_
PROPERTY OWNER INFO: (Ail owner Information. ls requited - it Is not optional) Phone # 970.482.3898
Last nameGower _ First Name Charles Middle
Street Address 914 West Lake Street city, Fort Collins State CO zP 80521
CONTRACTOR INFO: Company Name Brinkman Construction, Inc. contractor Phone # 970.267.0954
Lic Holder Name Paul Brinkman City of Fort Collins License # B-361 Supervisor Cert # 2441-B
Mailing address '3003. East Harmony Rd.', Suite 300 city Fort Collins State . CO Zp 80528
LEGAL INF0s
Subdivision/PUD College Heights Filing# Lot# 1, 13 Bloc# Lot Sq Ft 83,812
CONSTRUCTION INFO: Total -Building Sq Ft (not including tiasernent) 599574 Total Garage Sq Ft N/A
Residential Sq Ft 57,117 _ .. Comm'I Sq Ft _ # of Stories 3 Bldg Height 26, #Dwelling Units
1Floor Sq Ft 19,039 2nd Floor Sq Ft 19,039 Td Floor Sq Ft.19,039 Unfiished'-Bsmt Sq Ft .N/A
Finished Bsmt Sq Ft N/A # of Bedrooms N/A # of Full Baths WA '/..Baths N/A_ 'r4 Baths N/A # of Fireplaces N/A
Air Conditioning: YeGO Energy info: ( Circie appropriate choice) 1. ComCheck 2. ResCheck wAir Sealing
3. ResCheck w/Blower Door H4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing El 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s___
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.UTILITIES- INFO:
Water Tap Size Sewer Tap Size Metereda Yes❑No[:] Temp.. Pedestal Yes No
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only) Eli 50 Amp or Less E1200 Amp DOther
Value of Construction (including labor; material. 350000.00 &profit) $
Description of Work:
E erior facade remodel
Contact. Name & Phone # of JOBSITE SUPERVISOR: .Jim Ciesla 970 267.0954
Subcontractor Info:
Electrical Gregory Electric' Mechanical N/A Plumbing N/A
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Framer. HOWnger RryWai1 Roofing N/A Concrete _ Concrete Fireplace N/A
Solar N/A Other N/A Other Other
Applicant:. I hereby acknowledge that l.have repp this application and state that the above information is correct and "agree to comply with all requirements
contained herein and City of Fort Colli�ordiny*oesto laws regulating building construction.
.Applicant Signature _Print Name Jim CIeSIa Phone 970.267.0954
Distribution: White - Office Yellow - Applicant Fink- WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE