HomeMy WebLinkAbout607 Native Plant Way - Applications/Mixed Use - 12/23/2011City,of�/�It COMMUNITY DEVELOPMENT S NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80624 • Phone: 970-416-2740
wwwfcgov cornlbuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER /I/I �� f APPLICATION DATE —
Job
Last Name Middle City 011AS IM State-y-.—L. Zip A
aGtlar�r�r+c ,Contractor Phone r,--�t�1 04-qqG- 2S6:25
Street
CONTRACTOR INFO: Company
Lie Holder Name City of Fort Collins License # Supervisor Cart #
Mailing Address l g'i&PT , tbi y 414 city C&Ajpim -State N, G. zip 2$ 2( I
LEGAL INFO: �i
SUbdivWon/PUD Filing # Loft ## r�y� Block # a Lot Sq 003 �5
CONSTRUCTION INFO: Total Building Sq Ft (not tncluding basement) Total Garage Sq Ft
22 � tl
Residential Sq Ft Co 'I Sq Ft # of Stories �' Bldg
�HHeighhtt ✓ " i0 Dwelling Units _
1" Floor Sq Ft 9&- �� Floor Sq Ft ^^ 3"'Floor Sq Ft - k'�-� :" �6 n ad Bsmt Sq Ft
Finished Saint Sq Ft # of Bedrooms�l/ # of Full Baths 60 3/4 Baths _ V2Baths # of Fireplaces
Alr Conditioning: Ya NoEnergy Info: (circle appropriate choice) 1. ComCheck l� 2. ResCheck w/Air Sealing
3. ResCheck wBlower DoorT(�4. Simulated Performance Alternative ❑ 6. Prescriptive w/Air Sealing[] 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #a
UTILITIES INFO: tit
Water Tap Size Sawer Tap Size � Metered: Yes ❑No Temp. Pedestal Yes❑ No ❑
Type of Heat"
Gas ❑Electric Electric Main Breaker Size (Residential only) // 150 Amp or Leas ❑ 200 Amp ❑Other
Value of Construction ((including labor, material & profit) S Ica. g i /0/d d
Description of Work: OrilLI TYD� lD� (5 PAat [ OF A ti t vI ►Beir--n rt►C0 SiV DIEt-� iiouSf A:!!j
r9 cat 4?l.G7c wtt�,r.b, b is A tzEsrt r•+t-tfk_ Butt lr last lva-r r� As
r-
0
C Contact Name & hone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
AppUranl: 1 hereby aGtn edge that I have read this application and state that the above Information is correct and agree to comply with all requirements
contained herein and CH F ++rtt' c ,its rnanc nd stale laws regulating building construction.
Applicant Signature lA Print Name KAOUAS iN, 14AWS Phone S&I
ETV91) Dlsldbut!cn: White Yellow —Applicant Pink
REC
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE