HomeMy WebLinkAbout4609 Morning Dove Ln - Applications/Single Family New - 12/03/2015 (6):.' ....-.: COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. = Fort Collins, CO 80524 - Phone.- 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER II..J I U D 15 r 9 APPLICATION DATE 1 -,�I 3/ I C
job Ske Address 40% 101ar e(ZLL6, Unit a# (0 _ /k/0ZT9 WP
PROPERTY OWNER 'INFO: (All owner in'
lormation,iss required— it is not optional). Phone # 01� LfO 7 901
Last name 2Oe� 1 YV r�>]I'Z i -1 � / First Name Middle
Street Address L�L� /� ('� S� f� �,'i City f �O � C�U�/r�S Statelf�_Zip
CONTRACTOR INFO: Company Name 2 I� �j, j� i� Contractor Phone #
Lic Holder Name �y�l- z- T r �� �r✓� City of Fort Collins License # Supervisor Cert #
Mailing Address
City.
State Zip
LEGAL INFO:
3a o�
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential S Ft �H
q O Q� Comm'I Sq Ft # of Stories � Bldg Height #Dwelling Units
1s' Floor Sq Ft 13 T_T_ 2id Floor Sq Ft 31d Floor Sq Ft — Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 1 _33 � # of Bedrooms 3 # of Full Baths Z % Baths 1 % Baths k_ # of Fireplaces
Air Conditioning: YesmNoP Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
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 _ L C� Sewer Tap Size q
Type of Heat: W Gas nElectric
List appropriate option #s & j' evil kWCrr4z S
6,0 L)�T���
Metered: Yes FY—, lNoF] Temp. Pedestal Yes No
Electric Main Breaker Size (Residential only) [,L�,J150 Amp or Less 200 Amp
Value of Construction (including labor, material & profit) $_ 33"f ,3�'{•�1
Description of Work: Clfi " �1�� 4� %mod V' b"� — �'� P�� l j' 1 ASS 62
Other
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical I L7 if- P-L-4tt ti`[S Mechanical iti
Framer tol xar-- Roofing Concrete
Solar
Other
Other
n
Plumbing
Fireplace (a)11:1, t r
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 Cit of Fort Collins o1clin Ves and state laws regulating building construction.
Applicant Signature f� L Print Name (6I�4 G'sl4�wan-aPhoneg1 `6 ' .7
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater