HomeMy WebLinkAbout518 Sundance Ct - Applications/Addition or Alteration - 03/27/2014�Cit+,of COMMUNITY DEVELOPMENT $ NEIGHBORHOOD SERVICES
�'OI i Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416.2740
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ?) I4 V l I W O APPLICATION DATE 3- ai • i 4
Job Site Address 318 A'4tv0 eNGt Cf,
Unit #
PROPERTY OWNER INFO: (All owner Information Is required - it Is not optional) Phone #(170) b 3 l-
Last name r ` y'eN First Name TASCx/ t WINDY
Middle
Street Address Slip JuNP4#J(,j GT city, State C-0 ziPA 2-'1
CONTRACTOR INFO: Company Name f Q CJOA M Contractor Phone # 'N 74 a
Lic Holder Name J City of Fo/rrt Collins License # Supervisor Cart #
f.
Mailing Address ` Zf7OWSWS% City Y &iyAk State_ zip e02
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ff # of Stories Bldg Height # Dwelling Units
181 Floor Sq Ft
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces
Air Conditioning: Ye4on Energy Info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door 114. Simulated Performance Alternative[] 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes []NoElTemp. Pedestal Yes❑ No ❑
Type of Heat: Q Gas ❑ Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less 200 Amp DOther
Value of Construction (including labor, material & profit) $ '�qop loOo
Description of Work: REtMoyiN6 AN 1Fx4S711VG_ 6jtna ow ILIA TIME FRq IA16 LTdGoW — WE
( lkt- BQ t 4WiA#6 Ally bc/s7,fAw— TAW MA Krnr6 _Drst if Tnxr ra.neoar' T'N.r
Contact Name & Phone # of JOBSITE SUPERVISOR:._ (Po) 6 % - t,7 6
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
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 For ollins ordinances and state laws regulating building construction.
Applicant Signature Print Name - AWUPhon
Distribution: White -Office Yellow -Applicant Pink -WWWtStomtwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE