HomeMy WebLinkAbout5409 Apple Dr - Applications/Addition or Alteration - 08/28/2018Fort of
APPLICATION
Job Site Address
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
NG PERMIT APPLICATION
APPLICATION
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # %i, ' 416 3 S
me 1 - S D
Last na)/� ry ` First Name -1& V/2' /1 /� Middle
Street Address 7 7 Afrve City lFDref L1r�///!S State60 zip 4 b52G
CONTRACTOR INFO: Company Name HighCraft Builders Contractor Phone # (970) 472-8100
Lic Holder Name Dwight Sailer
City of Fort Collins License # D-597 Supervisor Cart # 1288-Dl
Mailing Address 429 S. Howes St. City Fort Collins State CO zip 80521
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block #. Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units
1" Floor Sq Ft 2n° Floor Sq Ft 3' Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Bath 4 2/, Baths %2 Baths # of Fireplaces Z-
Air Conditioning: Ye No� 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 Sealing ❑ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes []No❑ Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas nElectric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ / S 0, DDG
Subcontractor Info: �, - / l
Electrical ,L D �1 t� f t C/ Mechanical A -rw ?_ 9 t ru�- Plumbing t f 1 L/n .J�! hG
Framer 1 Roofing Concrete Fireplace u�5r1 '� ort�1J
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 o Collins finance and state laws regulating building construction.
Applicant SignaturPrint Name ZaO ZV-r 11aA� Phone C/W - 21 5D / ' V 06
Distribution: White - Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE