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4903 Northern Lights Dr - Applications/Single Family New - 07/14/2017 (2)
City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES FOl t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 / www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER 1 ` 1 LJ 1 Dom/ I ^ �'�-7 ` I APPLICATION DATE .lob Site Address4903 Northern Lights Drive PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone Last name Morningside Village East, Inc First Name Street Address 1170 West Ash Street, Ste 100 city Windsor CONTRACTOR INFO: Company Name Landmark Construction Solutions, Inc Lie Holder Name Jonathan Mosier Unit#10 970-460-0567 Middle Contractor Phone _ state Co Zip 8055b 970-460-0567 City of Fort Collins License t,C2-102 Supervisor Cart # 2605-C2 Mailing Address 1170 West Ash Street, Ste 100 Citaindsor State CO Zip 80550 LEGAL INFO: Subdivision/PUDBrookfield Second Replat Filing # Lot # 10 Block # Lot Sq Ft2147 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 'I 537 ✓ Total Garage Sq Ft Residential Sq Ft1 537 Comm'I Sq Ft na # of Stories2 Bldg Height 31' 11 " # Dwelling Units 1 1s' Floor Sq Ft 813 2no Floor Sq Ft 724 31 Floor Sq Ft na Unfiished Bsmt Sq Ft 813 Finished Bsmt Sq Ft 0 # of Bedrooms 2 # of Full Baths 2 Baths Y2 Baths # of Fireplaces Air Conditioning: ©e No Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alltemative 5. Prescriptive w/Air Sealing rescrlptive w/ Blower Door City of Fort Collins Stock Plan # 1894 S )�o appropriate option #s # 1 Plan 330 UTILITIES INFO: Water Tap Size �4rr Sewer Tap Size 6 Metered: Yes❑ No p. I�l ✓ Temp. Pedestal Yes �N1o❑ Type of Heat: �as ( Electric Electric Main Breaker Size (Residential only) R✓ 50 Amp or Less D00 Amp ( yther u 127,629.10 139 I —I Value of Construction (including labor, material &profit) $ Description of Work: 1 unit wood frame Single-family attached structure on fee simple lots. Building consists of wood framing, hardboard siding, and Stone exterior with an asphalt shingle roof. Contact Name & Phone # of JOBSITE SUPERVISOR: Wiley DepeW 970-833-0125 Subcontractor Info: Electrical tbd Framer tbd Solarna Mechanical tbd Plumbing tbd Roofing tbd Concrete tbd Fireplace tbd 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 of Fort Colli dinances and state laws regulating building construction. Applicant Signature Print Name Jon Jon Mosier Phone 970-460-0567 Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICArN EXPIRES 180 DAYS FROM APPLICATION DATE