HomeMy WebLinkAbout2274 YEARLING DR - APPLICATIONS - 1/26/2017 (5)Fort Collins
APPLICATION
Job Site Address 22
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. - Fort Collins, CO 80524 - Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFO. (All owner information Is
Last
APPLICATION DATE r'o/G/
Unit #
It ij n�ot oopttiio,,nal) Phone #
Z8" ..t/�l". - Middle
Street Address y s (}U • City �%I1f - [.t1 �� � State eO Zip
CONTRACTOR 1 FO Company Name ? ka�L�.�.i./�%� k .& LC • Contractor Phone # : 345—
Lic Holder Name �.,,, �. City of Fort Collins License
' # /Supervisor Cart #
Mailing Address 10_ 04 rl/t!�(�7K�! w rr• City / T• a/#;W State 40 Zip Z
LEGAL INFO:
Subdivision/PUD�/rV �^� Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
cr v
Residential Sq Ft Comm'I Sq Ft O� # of Stones Bldg Height 3Z 1» # Dwelling Units
10 Floor Sq Ft
2nd Floor Sq Ft
31' Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft ��}y # of Bedrooms # of Full Baths % Baths � '% Baths # of Fireplaces I
Air Condthoning Ye�ItCINO Energy info (Circ% appropriate choice) 1 ComCheck � 2 ResCheck w/Air Sealing 11
3 ResCheck w/Blower '"'6_oollllr 4 Simulated Performance Alternatives 5 Prescriptive w/Air Sealing11 6 Prescriptive w/ Blower Door O
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
It It
Water Tap Size Sewer
Sewer Tap Size Metered Yes UNo❑ Temp Pedestal Yes No ❑
Type of Heat I yl Gas ❑Electric Electric Main Breaker Size (Residential only) �150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material 8 profit) g 315 4-1DQ _ 60
Contact Name 8 Phone # of JOBSITE
Electrical
Framer
Roofing
Mechanical
Concrete
Solar Other
Applicant I hereby acknowle g at 1 have read this apphcab rid state that
contained herein and City of ollins o dinanoes and 1 reg�Pnnt
Applicant Signature
Other
Plumbing
Fireplace
Other
1 the above information is correct and agree to comply with all requirements
budding co ion /jam j�'J tL
Name V' �� Phone 49.M �7
Distribution White - Office Yellow -Applicant Pink - I VINV/Stormwater
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