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HomeMy WebLinkAbout4720 Prairie Vista Dr - Applications/Solar - 06/09/2011Y COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES F6r`itt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER I ` V Q `t' APPLICATION DATE 10 1 Job Site Address Pradc- O;5/^ E>rF7?- Co0Vo5zYs Unit# PROPERTY OWNER INFO: (All owner nformation is required — it is not optional) Phone # Last name Satn'1w rA First Name Middle -6treet Address q - z V ►r5�/-Z�N'� City a �G✓�e�s State�Zip 9©526 CONTRACTOR INFO: Company Name eflo9N ff C9/1fh:� I Contractor Phone # Lic Holder Name Mailing Address_ LEGAL INFO: Subdivision/PUD CONSTRUCTION INFO: Total Building Sq Ft (not including Residential Sq Ft Comm'I Sq 15' Floor Sq Ft Finished Bsmt Sq Ft 2nd Floor Sq Ft City of Fort Collins License # Supervisor Cert #. City_ Filing # ement) # of Stories Lot # 3Yd Floor Sq Ft Bldg Height # of Bedrooms # of Full Baths % Baths State Zip Block # Lot Sq Ft _ Total Garage Sq Ft # Dwelling Units Unfiished Bsmt Sq Ft 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 # UTILITIES INFO: Water Tap Size Sewer Tap Size Type of Heat: ❑ Gas ❑ Electric List appropriate option #s I Metered: Yes or No Temp. Pedestal Yes or No Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ 2 l.1 f L-15 Description of Work: -a Contact Name & Phone # of JOBSITE SUPERVISOR: ,r ►/%ie "m1afR-1 47 ?�O — LNI If " 94:59u6 Subcontractor Info: ( Electrical otk cY 1s �+Yl of Mechanical Framer Solar Roofing Other Concrete Plumbing Fireplace 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 of Fort Collins ordi and state laws regulating building construction. Applicant Signature Print Name L-i f�C Phone &3-66G Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE