HomeMy WebLinkAbout809 ROMA VALLEY DR - APPLICATIONS - 12/4/2014r T Collins
11 Ll ll ; c:
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
APPLICATION NUMBER rJl+l� 24ZB APPLICATION DATE -DV-C--04•-2-i=IAll
Job Site Address 909 aOm4 vA"'lY p2,
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 01?0 - lyq - -jrt 5`1
Last name 'lAmmilo
Street Address TO l 1?_0M A VALLEY
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Address
LEGAL INFO:
First Name Middle
2. City
FpX-r G°LLX45
Contractor Phone #
State CO Zip V'D 5'7-5"
City of Fort Collins License # Supervisor Cert #
State Zip
Subdivision/PUD MTlX4^elf VALtt�( Filing# Lot# 6H Block# Lot SgFt 1029/
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) i I 0 1
Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft # of Stories '- Bldg Height 241 # Dwelling Units
1" Floor Sq Ft
31 Floor Sq Ft i Unfiished Bsmt Sq Ft (& 6 $
Finished Bsmt Sq Ft # of Bedrooms i 'mod► # of Full Baths ` 1 '/. Baths '/ Baths 41:1-_ # of Fireplaces A
Air Conditioning: Ye;ENo Energy info:( Circie appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door H4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
2ntl Floor Sq Ft
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes91No1_1 Temp. Pedestal Yes❑ No ❑
Type of Heat: ® Gas1-1 Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp ROther
Value of Construction (including labor, material 8 profit) $ J5060.40
Description of Work: F?ril5m $AiLme- i-
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Electrical AvEAY 1,4eT95G r JV6 Mechanical A1060 ML4NA-'►1-"L r L« Plumbing nl060 MEcNAv1r�(IL L-L c
Framer 04D&W17 30;t-b"5 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 Fort Collins finances `haws regulating building construction.
,��O-7y'f-�19Sf
Applicant Signature �.�L -Print NameKavI1 A. TAdr/Pa Phone
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater