HomeMy WebLinkAbout4331 Silverview Ct - Applications/Addition or Alteration - 02/12/2018F6rt`'C
of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBE0 9 3
F8 1 APPLICATION DATE
Job Site Address ��j 5 ��v<<,/� �r✓ Cd' Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # -� / q 1 5" 5" 17
Last name lJA-,J1l7 oA First Name �Qv!D� r-- Middle
Street Address 977 3 �, ��� �``�� �� City'f k5 State
w Zip g D ,
CONTRACTOR INFO Company Nam1e, 3"3> CoAcFr,, -F;-0A -1, Qe,o S► _ Contractor Phone # Q 2-o Ad 7396
Lic Holder Name A/�� l �� C+ �� City of Fort `Collins License # ft-11 L Supervisor Cert #
Mailing Address 1 !a- q JjurA wog C i City State Cfl Zip '90TS C
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO- Total Budding Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft
15' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
# of Stones Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 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) $ O om n
Description of Work �� �. (� (�'ara e Q �.� �"° �ep/) anc( a cn H A rv.
Contact Name & Phone # of JOBSITE SUPERVISOR: anr-tD� �.� �-�^ Q %� �► t-j 7 Ea
Subcontractor Info: ,\
Electrical k� Y'G ck•2 Altc' V Mechanical `ilO0 as-, (%'t1llie,i Plumbing
Framer 3y Roofing
Solar
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 of Fortlin r nances a regulating budding construction `l
Applicant Signature 6 Print Name �GA� �` -t Phone D gtLi
Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE