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HomeMy WebLinkAbout5127 Exploration Ln - Applications/Single Family New - 11/05/2012City Of Fort Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER e) I ICJ APPLICATION DATE t b ( Z Job Site Add PROPERTY OWNER INFO: (All owner Information is required- It is not optional) Last name NVH Development, LLC First Name Unit # Phone# 303 - -703-973V Middle Street Address 8480 E. Orchard Road Ste. 1000 City Greenwood Village State CO Zip 80111 CONTRACTOR INFO: Company Name NVH WIP LLLP, dba Village Homes Contractor Phone # 303-703-8734 Lic Holder Name Tom Nevin City of Fort Collins License # D-679 Supervisor Cert # 1902-D1 Mailing Address 8480 E. Orchard Road Ste. 1000 City Greenwood Village State CO Zip 80111 LEGAL INFO: Subdivision/PUDWillow Brook CONSTRUCTION INFO: Total Building Sq Ft (not including Residential Sq Ft 2549 Filing # 3 Lot # � Block # ---- Lot Sq/Ft ennent) 2549 Total Garage Sq Ft/ 626 / Comm'I Sq Ft ------- # of Stories 2 Bldg Height 28'-2" # Dwelling Idnits�l/ 1°' Floor Sq Ft 1293 2n° Floor Sq Ft 1256 3b Floor Sq Ft ------ Unfiished Bsmt Sq Ft 824 Finished Bsmt Sq Ft 0 # of Bedrooms 4 # of Full Baths 3 % Baths '/2 Baths # of Fireplaces 1 Air Conditioning: Ye�K7 Energy info: ( Circle appropriate choice) 1. ComCheck11 12. 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 # U List appropriate option #s Z1 UTILITIES INFO: Water Tap Size 3/4" Sewer Tap Size 4" Metered: Yes WINT-1 Temp. Pedestal Yes[Z] No ❑ Type of Heat: a Gas ❑Electric Electric Main Breaker Size (Residential only) Q✓ 1 so Amp or Less 200 Amp Other Value of Construction (including labor, material & profit) $ ZP D5- 9a Description of Work: Single family Residential - N3004 10 1 2011 Elevation: B Contact Name & Phone # of JOBSITE SUPERVISOR: Tom Nevin 303-419-4014 . ., Electrical Gill Electric Mechanical Eastside Heating Plumbing Plumbing Unlimited Framer Van Dyk Construction Roofing Campbell Beard Concrete Welham Concrete Fireplace AMI Fireplace Solar Other Other Other Applicant: I hereby acknowledge thar1h e readthi PUcation and state that the above information is correct and agree to comply with all requirements contained herein and City of Fort C 1dinan s d st 2 laws regulating building construction. Applicant Signature Print Name Kelli Ehnstrom Phone 303-703-8734 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE