HomeMy WebLinkAbout4863 Northern Lights Dr - Applications/Single Family New - 08/08/2017 (5)Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. - Fort Collins, CO 80524 - Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
I Q —1 "T I W 8/n /219 � Sr I I
APPLICATION NUMBER APPLICATION DATE`�T
.lob Site Address4863 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
Unit #A
970-460-0567
Middle
1170 West Ash Street, Ste 100 City Windsor State CO Zip 80550
CONTRACTOR INFO: Company Name
Lic Holder Name Jonathan Mosier
Landmark Construction Solutions, Inc Contractor Phone # 970-460-0567
City of Fort Collins License h,C2-1 02 Supervisor Cert # 2605-C2
Mailing Address 1170 West Ash Street, Ste 100 CityWlndsor State CO Zip 80550
LEGAL INFO:
Subdivision/PUDBrookfield Second Replat Filing# � Lot#1 Block# Lot Sq Ft3044
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) 1 72A I,-` Total Garage Sq Ft
Residential Sq Ft1736 Comm1 Sq Ft na # of Stories2 Bldg Height 31' 11 " # Dwelling Units
1 st Floor Sq Ft 878
Finished Bsmt Sq Ft 0
Air Conditioning: es No
2nd Floor Sq Ft 858 3rd Floor Sq Ft na
3 2
1
Unfiished Bsmt Sq Ft 878
1 1
# of Bedrooms # of Full Baths 3/4 Baths '/2 Baths # of Fireplaces
Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Al ernative 5. Prescriptive w/Air Sealing rescnptive wl Blower Foor
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City of Fort Collins Stock Plan # 1894 List appropriate option #s #2 Plan 360
UTILITIES INFO:
Water Tap Size /4rr Sewer Tap Size 61, Metered: Yes❑ No p. Pedestal Yes ✓ Tem No❑
Type of Heat: Ras Dectric Electric Main Breaker Size (Residential only) �✓ 50 Amp or Less D00 Amp Dther
Value of Construction (including labor, material &profit) $ 161,077.54----'
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
Roofing
Other
_ Mechanical
tbd
Concrete tbd
Other
Plumbing tbd
Fireplace tbd
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 F Collins or� and state laws regulating building construction.
Applicant Signature �� Print Name Jon Mosier Phone 970-460-0567
Distribution: White —Office Yellow —Applicant Pink—WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE