HomeMy WebLinkAbout4609 Morning Dove Ln - Applications/Single Family New - 12/03/2015 (5)COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FortCollins 281 N. College Ave. a Fort Collins, CO 80524 a Phone: 970-416-2740
vuww fcgov corn/building
- BUILDING PERMIT APPLICATION �
APPLICATION NUMBER 51 u ® 7-7 APPLICATION DATE 121 3,11 C
.fob Site Address �GO� Jl��lzf�i�FC� ����/,i %'��F� unit #
PROPERTY OWNER INFO:,� //(Ail owner i`nt�ormation is required— it is not optional)
Last name P�� —IYV COIDEZ!'i P 4irst Name
Phone # -i 79 LLo 7- 7 00CR
Middle
�" ►� �'f- k %`/ Cityy' C; �i��ES State Street Address Zip � Jz
� v Q 0 t
CONTRACTOR INFO: Company Name ? 6� ` ,, LLB Contractor Phone #
Lic Holder Name �ti�t- z- T r z2 ��'� City of Fort Collins License # Supervisor Cent ##
Mailing Address
City.
State Zi
LEGAL INFO: PIv4� 1 -Pp-oC, 5 L,,,T 11, �`1 �12Nt ^v1-f `{ `c--(ZX4FL 309j
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft ,�
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)=1 I oZgf) Total Garage Sq Ft %j�
it
Residential Sq Ft S Comm'I Sq Ft # of Stories Bldg Height Dwelling Units
15' Floor Sq Ft k 7i- 1 95.1 2id Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft (i V # of Bedrooms 3-- # of Full Baths C— -/. Baths 1 % Baths ___]_ # of Fireplaces 1
Air Conditioning: YesmNo� 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 Sealing11 6_ Prescriptive w/ Blower Door[
City of Fort Collins Stock Plan #
UTILITIES INFO:
Water Tap Size Sewer Tap Size 1' _
Type of Heat: 0Gas Electric
List appropriate option #s & P &1l kWC9 5 - 64� 7-I°�(
Metered: Yes �NoF] Temp. Pedestal Yes No
Electric Main Breaker Size (Residential only) 16,1150 Amp or Less 200 Amp Other
Value of Construction (including labor, material & profit) $_ I ; Uv I' v
Description of Work: �/7 _ �1�� %6 I �V ?)Z0CS5S 1'0
l Contact Name &Phone # of JOBSITE SUPERVISOR: a-LL I teY ti l Clio - alga- 9a w
Subcontractor Info: t
Electrical / 1 L-I e pc'wt s--[S Mechanical P412
Framer—,Y46—, (/)x4K- Roofing Concrete
Solar
Other
Other
Plumbing rsc� ]�vtn tji;�
Fireplace
Other
Applicant: I hereby ackno ledge that I have re d thi a plication and state that the above information is correct and agree to comply with all requirements
contained herein and Cit f F rt Colli ordi c s state laws regulating building construction.
Applicant Signature Print Nam6�;Zt�whone
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater