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HomeMy WebLinkAbout4809 PRAIRIE VISTA DR - APPLICATIONS - 7/30/2014COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES City of Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER 13I q L[vo` r APPLICATION Job Site Address LIOD 91 %r-all?,/ s Unit # PROPERTY OWNER INFO: (All owner d� information is required - it is not optional) Phone # / 6 6o �� 00 �9 Last name (/� /�// S/ZIZ, 114 First N a m a Middle Street Address l `l/-,l 4 r—� fJlir r s�S f City F© A7l State ee Zip S t� CONTRACTOR INFO: Company Name Sf-Njrf M, Contractor Phone # ra %`t OO K.57 Lic Holder Name I At) a, ph, 11"aes City of Fort Collins License # Supervisor Cert # 76 Mailing Address /g141 �0/1uG( City C— State rlo Zip -Y LEGAL INFO: Subdivision/PUD z4"' Rr Filing # Lot #__/ __ Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) / Total Garage Sq Ft �.J ✓� Residential Sq Ft Comm -'I Sq Ft # of Stories Bldg Height 52 # Dwelling Units 1 1 s' Floor Sq Ft q6 2nd Floor Sq Ft 311 Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft /b 7& # of Bedrooms � # of Full Baths �, % Baths _L '/z Baths # of Fireplaces _ Air Conditioning: 6�0 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 Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option UTILITIES INFO: Water Tap Size Sewer Tap Size Meter d: Ye or No Temp. Pedestal e�r No Type of Heat: KGas ❑ Electric Electric Main Breaker Size (Residential only) &150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labo(, material & profit) $ 3 f 4—d-Z) Description of Work: Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical A P, Mechanical � a P�1' q � Plumbing /Y(- eU�hZmt/ y� Framer % 0' (i. %y Roofing _1 � n� Concrete / I grr'ict y i Fireplace �T L 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 ( tom Print Name IJl�OP. P I ��rI Phone Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE