HomeMy WebLinkAbout6227 SAKER CT - APPLICATIONS - 8/19/2016F IZCV 0' COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER + `{'� L4 V 43 APPLICATION DATE I
Job Site Address6227 Saker Ct. Fort Collins, CO 80528 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #484-238-5689
Last name RiZol First NameJim & Carolyn Middle
Street Address 6227 Saker Ct. CltyFort Collins StateCO ZIP80528
CONTRACTOR INFO: Company Name Poehlmann Construction Contractor Phone #970-278-1930
Lic Holder Name Harry Poehlmann
Mailing Address,
1642 Fantail Ct.
LEGAL INFO:
Subdivision/PUDKechter Farms
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
151 Floor Sq Ft
Comm'I Sq
2°d Floor Sq Ft
City of Fort Collins License # C1-131 Supervisor Cert #
_ CityFOrt Collins State CO ZIp80528
Filing # 1 Lot # Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 990 # of Bedrooms 1 # of Full Baths % Baths 1 '/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 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 IV-1NoF] Temp. Pedestal Yes[] No k
Type of Heat: F _P Gas1-1 Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less �✓ 200 Amp Other
Value of Construction (including labor, material & profit) $ 35,700
Description of Work:
Basement finis
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Gregory Electric Mechanical
Framer Poehlmann Construction Roofing N/A
Solar
Other
All Seasons Heating & Air
Concrete
Other
Plumbing Colorado Plumbing
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 Signature Print NameHarry Poehlmann Phone 970-278-1930
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION ®ATE