HomeMy WebLinkAbout4702 PRAIRIE VISTA DR - APPLICATIONS - 11/18/2015City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Forrt Collins 281 N. College Ave. - Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER l V APPLICATION DATE I V J
Job Site Address 4702 Prairie Vista Dr
Unit #
PROPERTY OWNER INFO, (All owner information is required - it is not optional) Phone # 812-327-8594
Last name Bell First Name Richard Middle
Street Address 4702 Prairie Vista Dr city Fort Collins State CO Zip 80526
CONTRACTOR INFO: Company Name Poehlmann Construction Contractor Phone # 970-278-1930
Lic Holder Name Harry Poehlmann City of Fort Collins License # C1-131 Supervisor Cert #
Mailing Address 1642 Fantail Ct city Fort Collins
State CO Zip 80528
LEGAL INFO:
Subdivision/PUD#19762 Harmony Ridge Filing # 2 Lot #45 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
151 Floor Sq Ft
2nd Floor Sq Ft
31" Floor Sq Ft
Unfiished Bsmt Sq Ft 130
Finished Bsmt Sq Ft 830 # of Bedrooms 1 # of Full Baths % Baths 1 '/z Baths # of Fireplaces
Air Conditioning: Ye�]No� 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 #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes []No❑ Temp. Pedestal Yes❑ No ❑
Type of Heat: Fv/1 Gas ❑Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ $29,000.00
Description of Work:
Finish Basement with one bedroom one bath family room and Bar area. Bar area has a sink and a refrigerator. There are no appliances in the bar
Contact Name & Phone # of JOBSITE SUPERVISOR: Harry Poehlmann 970-214-9353
Subcontractor Info:
Electrical Gregory Electric Mechanical All Seasons Heating & Air
Framer
Solar
Roofing
Other
Concrete
Other
Plumbing Colorado Air
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 or ces and state laws regulating building construction.
Applicant Si nature pp g _ _.�.N�� Print Name Harry Poehlmann Phone 970-278-1930
Distribution: White - Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE