HomeMy WebLinkAbout5974 Snowy Plover Ct - Applications/Addition or Alteration - 06/18/2013City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Forrt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 01 -� 0 �[- -?.)- APPLICATION DATE III V (V
Job Site Address 5-1741 5�DDWV ?�D v'Ct— el AUnit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # / /`o Z 37 — 2-7
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Last name te.4 g::)& ✓ First Name j�pre-j /1-7ne/I/ Sly Middle -
Street Address 59 7 S�'lor"��j� ���d+�Er/ �tGCity Tyr? i�h5 State C/A Zip
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CONTRACTOR INFO: Company Name P1116klO � Lj� 440?�Y%��� Contractor Phone # 9 % U Z Z3 — LJN? 7`'
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Lie Holder Name //� j1n_j /3r/4"� City of Fort Collins License 91ZZ-5-5 / Supervisor Cent#
Mailing Address (�9 ��y��"""v ��S` City�O/ �11�IS State C� ZipqOv tom,
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3`d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes No 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 Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ Zlem
Description of%ork:
Contact Name & Phone # of JOBSITE SUPERVISOR: dl/y oe7o eo-7 c:P/7y 4/� z- % % 94?
Subcontractor Info: // �
Electrical t-�J4 Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
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Applicant: I hereby acknowled a that I have read this ap ation and state that the above information is correct and agree to comply with all requirements
contained herein and City of F rt ollins rdinances a s to laws regulating building construction. /�
Applicant Signature / Print Name c-�,*'% /J✓/�il�t — Phone �7i 77
Distributio ' White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLOCATOON EXPORES 180 DAYS FROM APPLOCATION DATE