HomeMy WebLinkAbout5138 Exploration Ln - Applications/Single Family New - 12/03/2012City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
CollinsFort 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER `dV �� ` APPLICATION DATE 1� 3 12
Job Site Address 45' 39 ExPla fG lyy) Lu n e, Unit # ------
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 303-703-8734
Last name NVH Development, LLC First Name 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-fi79 Supervisor Cert # 1902-D1
Mailing Address 8480 E. Orchard Road Ste. 1000 City Greenwood Village State CO Zip 80111
LEGAL INFO:
Subdivision/PUD Willow Brook Filing # 3 Lot #--L3— Block # --- Lot Sq Ft_5000
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)_I _ lol0l Total Garage Sq Ft 53D
Residential Sq Ft )CO/1-7 Comm'I Sq Ft ------ # of Stories Bldg Height�#Dwelling Units
1
1s' Floor Sq Ft -�Z 2n° Floor Sq Ft 3rtl Floor Sq Ft
Unfiished Bsmt Sq Ft l7 y '?
Finished Bsmt Sq Ft 0 # of Bedrooms Z # of Full Baths t? '/< Baths /2 Baths #_of Fireplaces 1
Air Conditioning: Ye�lon 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 # 73 List appropriate option #s
UTILITIES INFO:
Water Tap Size 3/4" Sewer Tap Size 4" Metered: Yes ZNoF — Temp. Pedestal Yes❑ No ❑
Type of Heat: Gas1-1 Electric Electric Main Breaker Size (Residential0i only) 50 Amp or Less 11 200 Amp Other
Value of Construction (including labor, material & profit) $ I (ales 114L/• 3o
Description of Work:
Single family residential d�_��✓ ��
Contact Name & Phone # of JOBSITE SUPERVISOR: Tom Nevin 303-419-4014
Subcontractor Info:
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 tha a read thif'alpplication and state that the above information is correct and agree to comply with all requirements
contained herein and City o Fort C I ina es d late laws regulating building construction.
Applicant! Print Name Kelli Ehnstrom Phone 303-703-8734
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE