HomeMy WebLinkAbout4130 SNOW RIDGE CIR - APPLICATIONS - 5/13/2013City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
/ www.fcgov.com/building
2 G G{ BUILDING PERMIT APPLICATION
APPLICATION NUMBER_ �) I 1 APPLICATION DATE S ✓ I
Job Site Address 114130 �.votf) ;0d
Unit #
PROPERTY O /W,N`ER INFO: (All owner information is required — it is not optional) Phone # / �/ Gga-V
Last name V -V I % ov� 'd First Name
/� 7�b,_, � Middle �V
Street Address T��b O�ti /�/91t e— C) City I"� �"l INS State Zip
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CONTIRACTOR INFO: Company Name Contractor Phone #.
Li H Ider Name City of Fort Collins License #.
Mailing
City.
Supervisor Cert #
State Zip
LEGAL INFO:
6ubdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) !L:7 Total Garage Sq Ft `/y 0
Residential Sq Ft Comm] Sq Ft # of Stories_ Bldg Height # Dwelling Units
11 Floor Sq Ft 2nd Floor Sq Ft _
Finished Bsmt Sq Ft # of Bedrooms
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Full Baths / '/. Baths /2 Baths # of Fireplaces
Air Conditioning: LYejs 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
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Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: V(Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
L' nAr1
-Concrete
Other
Plumbing
Fireplace
Other
OAF
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 Coll' s or finances and to laws regulating building constrr(uction. /�
Applicant Signature - Print Name �U9��1/ YV 1 /4�SPhone q7 Y
Distribu ion: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE