HomeMy WebLinkAbout2101 Dover Dr - Applications/Addition or Alteration - 05/31/2016City ®f
Fort Collins
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COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER +3 16 O - q I ! APPLICATION DATE 5 - 3 I
Job Site Address 2 1 O 1 DOVele- _D►2.1.VC�, Unit #
PROPERTY
/OWNER
" INFO: (All owner information is required - it is not optional) Phone # 9-7 Q - 227 �I c �d'
Last name V&%tKbrW(- - ,�&1VI(ii02�First Name ICe m ne h 4r FI�,`rl/ dA Middle
Street Address S 1 c)l Joyei2 Idiomy�ff City`�E - Co l l l ks State C_Zip �'(
CONTRACTOR INFO: Company NameAs' loc 1h 13Lu e m r IJeS «1riContractor Phone # 6170 - Z2'� -� 2-j
Lic Holder Name,, ff ►/ P Ian City of Fort CollCO+nILicense # �[- (as Supervisor Cert #p�IV
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Mailing Address `T%3 I h i�Vt:U 16V� (. j 5�*� City Ff. . W R L n-S State�Zip
LEGAL INFO: 11 1,� I
Subdivision/PUD I213L1- V � L l A4 i✓ V V iling #�_ Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
2nd Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/ Baths '/2 Baths # of Fireplaces
Air Conditioning: YeGo0 Energy Info: ( Circle appropriate choice) 1. ComCheck [l 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door 1-1
4. Simulated Performance Altemative❑ 6. Prescriptive w/Air Sealing S. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size. nim Metered: Yes ®NoIj Temp. Pedestal YesLl No IX
Type of Heat: ®Gas ❑Electric Electric Main Breaker Size (Residential only) �150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor, material & profit) $ �� 000
Description of Work: 2UL4 SQFT )v,JiT ►C41 V-C_VAOCtC�. eV1I O e-14 VL 5
jy1 ",U t2 5 V[ rblS IM (SGl, L�64 1 VLJ d WI VL, w)
Contact Name & Phone # of JOBSITE SUPERVISOR: R_MVL IG V k L �rl -7D T-2 0 ^ ® -329-
SubcontractorInfo:
Electrical @aya- et vw
L'Mechanical * ( Plumbing I Ps
Framer/"fB�! �I RoofingJ Concrete IV lilk Fireplace A -
Solar Other Other 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 ortlCollins ordi ances and state laws regulating building construction.
Applicant Signature Print Name ISO O D' L 065;M Phone 2-?22
Distribution: White - Office Yellow- Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE