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HomeMy WebLinkAbout4326 MESAVIEW LN - APPLICATIONS - 1/21/2015City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER 16 l 510 :5 Z APPLICATION DATE ! / Cl I �T Job Site Address 9.3 a6 Mesa- \J; eP 17 L N Unit PROPERTY OWNER INFO: (All owner information is required - it p, isp not r,\optional) Phone # 97©—aoc, I 7 -75 Last name G �e���,First Name Vv ( \ ll m y`/� Middle Street Address �ff�J , 1 t g6�y 1eL11 I . N. L City (1�tyk- C. It, w5 StateCD Zip <995ab CONTRACTOR INFO: Company Na 1m''e Rcav5j� � ►01 �Rec�htr,1ilAe. Contractor Phone # 9 (9— 63 (— 1 0 3 1 Lic Holder Name �VY \A13V% X E. �jV►1 %Cr' `ckK City of Fort Collins License # ID -57a Supervisor Cert # Mailing Address Hbl,3 Qq`. City Fortc,6"tv.6 State C1010, Zip %5as,� LEGAL INFO: .{ Subdivision/PUD I >1e, Qyer\QDS�P-6)ppt;r(Le, Nb Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including Residential Sq Ft 1 s' Floor Sq Ft Finished Bsmt Sq Ft Comm'[ Sq 2nd Floor Sq Ft Total Garage Sq Ft # of Stories . Bldg Height # Dwelling Units 3rd Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths /z Baths # of Fireplaces Air Conditioning: Yes 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 # UTILITIES INFO: List appropriate option Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ i3 Description of Work: R a 5 2. VV ems,,, f= I V" 5� t �(t� 31`f b ,A-V,- I -+-0 �o. \ I1 ODD S. 45, Contact Name & Phone # of JOBSITE SUPERVISOR: RB.V vr.mwLl E& 976— 63 %— 9 Subcontractor Info: Electrical -r4`4ywtv'tC. Mechanical Framer �vls Us vV c \1oyL Roofing Solar Other Concrete Other Plumbing Dxwk, Alt4V4 v t1ay, Fireplace Other Applicant: I hereby acknowledge that I have read th' application and state that the above information is correct and agree to comply with all requirements contained herein and Ci of Fort Collins ordinances n state laws regulating building construction. ,` Applicant Signature � . Print Name � •N tot wAA, Phone T70-6511 9O3 1 Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE