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HomeMy WebLinkAbout1809 PRAIRIE RIDGE DR - APPLICATIONS - 7/20/2011of wort` Collins APPLICATION COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building B�UI DING PERMIT APPLICATION APPLICATION DATE ; 7 —. 7-0--ff Job Site Address I8Oq FRAjP-lf l�i� cPP, Iy'E Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # .303-371- 9 00O Last namedREO(146"OtJY KLDGO Lli(IFirst Name Middle Street Address 2.70 51- TAkkI- Si2�C✓-1� 2✓OD C�iitty- DErJVlt - pState� Zip gaol O{e CONTRACTOR INFO: Company Name *5WK I IM fCILI.I►.1f£ VDUs-. Contractor Phone 70 5%(p' 0S7(o Lic Holder Name -bos £IgNS City of Fort Collins License # Supervisor Cert # Mailing Address -38AG Sow0, C,o ttxj rY RD 7 City L,oy& A' ,o State C C7 Zip 80 5 3-7 LEGAL INFO: Subdivision/PUDFiling #02, Lot # 3 Block # --- Lot Sq Ft �a CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 0 , r% Total Garage Sq Ft dl'l0 Residential Sq Ft Comm'I Sq Ft # of Stories_ Bldg Height # Dwelling Units 15' Floor Sq Ft CI9 S 2nd Floor Sq Ft 7 4 31 Floor Sq Ft Unfiished Bsmt Sq Ft q -1 7 Finished Bsmt Sq Ft -5'- # of Bedrooms '7-. # of Full Baths Z '/4 Baths $ '/2 Baths 1 # of Fireplaces 1 Air Conditioning: SNo Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door f, 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 it Water Tap Size 3� Sewer Tap Size � Metered Yes or No Temp. Pedestal Yes or No Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only) K 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ Description of Work: E W ! loCrLI✓ �6[m, Lmy Del—r GlJ1 � CAS 'Pt-.Arl Contact Name & Phone # of JOBSITE SUPERVISOR: 606 KE lle 105 Ct I b - S6to - ©J 7(0 Subcontractor Info: b Vqk }"09 Electrical r+�Lcx--& 6 Mechanical I'1OIly,S'��G. /-t-li2. Plumbing JGDTT 1}Z Framer QLtAL.t?'f 5tQNc• Roofing GuL-yS eRaDFt►� ConcreteTRoV �mW&- FireplaceWeSjd,� 'J;9415PcAcB 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 of Fort Collins ordinances and state laws regulating building construction. Applicant Signature �-A( Print Name '5 a is K E t R.N Phone 9'70 - 56(o - OS'7(o Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THOS APPLUCATOOK EXPORES 180 DAYS FROM APPLUCATOOK DATE