HomeMy WebLinkAbout2145 CENTRE AVE - APPLICATIONS - 11/7/2017 (19)City
}of .'` COMMUNITY DEVELOPMENT 8r NEIGHBORHOOD SERVICES
CollinsForI281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building,
BUILDING PERMIT APPLICATION
APPLICATION NUMBER', BA1 61 SLiLA - APPLICATION DATE
Job Site Address2145 Centre Avenue - 80526
Unit #
PROPERTY OWNER INFO (All owner information is,required- it is not optional) Phone # 970-221-6881
City of Fort Collins = 'First Name Middle.
Street Address PO Box 580 City Fort Collins _ state CO ZII) 80522.
CONTRACTOR INFO Company Name Krlsche Construction Contractor. Phone #303-776-7643
Lic'Holder Name Dan KrISChe I City of Fort Collins License # 8-193 Supervisor Cert #
Mailing Address 605 Weaver Park Road CltyLongmont State CO Zip80501
LEGAL INFO-
Subdivision/PUD162523 Filing #22nd 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
161 Floor Sq Ft
2"d Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms . • # of Full Baths /. Baths /2 Baths # of Fireplaces
Air Conditioning. YeGoo 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 Doora
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 ❑
Electric Electric Main Breaker Size (Residential only) �150 Amp or Less 200 Amp Other Type of Heat ❑ Gas
Value of Construction (including labor, material & profit) $ 121,000
Description of work: Gardens on Spring Creek site electric — a O 11 glr4 po ifs L l� to
Contact Name & Phone # of JOBSITE SUPERVISOR- Brien Banister 303-944-2566
Subcontractor Info:
Electrical Rose Electric Mechanical
Plumbing _
Framer Philips Carpentry Roofing Front Range Seamless Concrete Total Concrete Fireplace
Solar
Other
Other 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 o o Collmssorordi/nances and state laws regulating budding construction '
Applicant Signature_O Print Name I Phone aZ`7?6-76t/3
Distribution White - Office Yellow - Applicant Pink - WWW/Sjormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE