HomeMy WebLinkAbout645 STONEHAM CT - APPLICATIONS - 2/11/2016COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FortCollins 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 Address645 Stoneham Court Unit #
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone #214-287-7981
Last name Rouch First NameTerry Middle
Street Address 645 Stoneham Court CityFort Collins State co Zip80525
CONTRACTOR INFO: Company Name western Skies Construction Contractor Phone #970-353-6244
Lic Holder Name Brett ABernathy City of Fort Collins License # Supervisor Cert #
Mailing Address P.O. Box 452
LEGAL INFO:
Subdivision/PUD
Citywindsor State Co Zip80550
Filing # Lot # 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
1,11 Floor Sq Ft 2"d Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 100C? # of Bedrooms 01 # of Full Baths 3/ Baths '/2 Baths # of Fireplaces
Air Conditioning: Ye�]Non Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing F1 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 [—]Nor—] Temp. Pedestal Yes❑ No ❑
Type of Heat: Fv] Gas Electric Electric Main Breaker Size (Residential only) 0150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $ obi.30
Description of Work:
Finish 1083 sf basement with two bedrooms, one 3/4 bath and family room.
Contact Name & Phone # of JOBSITE SUPERVISOR: Brett Abernathy 970-218-6317
Subcontractor Info:
Electrical 61*r'-'owtia_ Mechanical
Framer WSC Roofing N/A
Solar N/A
Other
Lemons Heating and Cooling
Concrete N/A
Other
Plumbing Wulf Plumbing
Fireplace N/A
Other
Applicant: I hereby acknowledge that I have read this a ion an state at the above information is correct and agree to comply with all requirements
contained herein and City of F rt ordinance n to la gulatin building construction. ^r/
Applicant Signature Print Name ✓ Z -9591/ Phone 120 3153
Distribution: -te — Yellow — Applicant Pink — WWW/Stormwater