HomeMy WebLinkAbout2515 Coventry Ct - Applications/Addition or Alteration - 01/09/2017City of I I COMMUNITY DEVELOPMENT S NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
- t ) BUILDING PERMIT APPLICATION
2ATION
APPLICATION NUMBER R1 I nw-i I APPLICATION DATE %1N - 09 ' 01
-17
Job Site Address-,11� I ( Ali VWf Unit #
/'C
PROPERTY WNER IN(All owner information is required - it is not optional)) hone # Iq b® q2D - 2y
Last name Q \� First Name + " �� Middle
Street Address 515- t City State Co Zip
CONTRACTOR INFO: Company
/N�a�e URCS 2 C Contractor Phone # !W- `1 'I 1?'—&�-t
Lic Holder Name Z i i C- / V City of Fort Collins License # ^5I'i? Supervisor Cert #
Mailing Address 1 c� 1� Citr(I tS l�S State W Zip
LEGALINFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
_Residential Sq NF
Ft V t�1j, Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3'd Floor Sq Ft
Unflished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/z Baths # of Fireplaces
Air Conditioning: Yes 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 #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
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) $
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Rfr�
Electrical lhY1Q� � L 8AV C - Mechanical a Plumbing � �
Framer
Solar
Roofing
Other
Concrete
Other
Fireplace
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 ort Collin or 'nances and state laws regulating building construction.
/'/1 4 ZC} y� �33
Applicant Signature rint Name<�r C Y`7!� Phone
Distribution: While - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE