HomeMy WebLinkAbout4927 Caravelle Dr - Applications/Solar - 11/29/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER dI 1 i C' by-1 APPLICATION DATE
Job Site Address Unit # ok� -33
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # sb : -l0 ! 201
Last name �I�►v�Z. First Name I(IAA Middle
Street Address ' `Z1 C-111' &Ve'/1C 0 r City Fy4 6j /( s C '-State Zip $0Sa
CONTRACTOR INFO: Company Name i </41 M C6 L^Qr DI Y Contractor Phone # 12V 5 5Z177
Lic Holder Name r lZw. , J r Vgo�e��,� . City of Fort Collins License # Supervisor Cert #
Mailing Address LA-700At ()r Uv'1 �Cityp ut&c- State W Zip %0
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq Ft # of Stories
15' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft 3'd Floor Sq Ft
Total Garage Sq Ft
Bldg Height # Dwelling Units
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 #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: dGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less &/200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 2b00b
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Mechanical
Roofing Concrete
Other Other
9 -7 y
Plumbing
Fireplace
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 rt Collins ordina es and stat a regulating building construction. I u
Applicant Signature Print Name Yam' Phone 110 foil
vitrlbution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE