HomeMy WebLinkAbout485 CONIFER ST - APPLICATIONS - 12/30/2013j�Ity, ar COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FVrt Collins ZB1 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegovcom/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER V Z!D0 J!) APPLICATION DATE
Job Site Address 485 Conifer Street Unit #
PROPERTY OWNER INFO: (All owner Information Is required — It Is not optional) Phone # 512-369-3030
Last name Breckenridge group fort collinSFirst Name Middle
Street Address 530 Lupine Dr. city Fort Collins state CO zip 80524
CONTRACTOR INFO: Company Name men heights construction llc Contractor Phone # 512-369-3030
Lic Holder Name Rodger FrakeS City of Fort Collins License #ln process Supervisor Cert #
Mailing Address 13at S. Icy- 0 04 TeYG5 Id w,/ city, Austin state TX zp 78746
LEGAL INFO:
Subdtvision/PUD- Aspen Heights Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) s&6p _.
Total Garage Sq Ft
Residential Sq Ft4/& o Comm'I Sq Ft # of Stories 2 Bldg Height 29'-6" # Dwelling Units
1" Floor SG Ft 2' Floor Sq Ft /p0 _F� 3' Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms 4 # of Full Baths 4 % Baths 0 Y, Baths 1 # of Fireplaces 0
Air Conditioning: YeNNd,� (� Energy info: (Ckde appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResChedk w/Blower Door 1 14. Simulated Performance Alternative[]5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door®
nLL
City of Fort Collins Stock Pla# Breckenridge B List appropriate option #s
UTILITIES INFO:
Water Tap Size 2" Sewer Tap Size 4" Metered: Yes Fx]No❑ Temp. Pedestal Yes❑ No o
Type of Heat M Gas nElechic Electric Main Breaker Size (Residential only) ❑150 Amp or Less a 200 Amp Other
Value of Construction (including labor, material 8 profit) S_ - _` �����` • �O
Description of Work: L O r�S�2 GT dam_
Contact Name 8 Phone # of jossrrE SUPERVISOR: Mark Shwar tz 303-746-0444
Electrical Mechanical
Framer Roofing
Solar Other
Concrete
Other
Plumbing
Fireplace
Other
Applicant I hereby acknowledge that I have read this application and state that the above information Is coned and agree to comply with all requirements
contained herein and City of Fort Collins ordinances and state laws regulating buiiding construction. 1 VI
Applicant Signature —� T'! Print Name�AAVV- S&WGV-�L Phone
Distribution:` Whke—Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE