HomeMy WebLinkAbout4906 WILMINGTON DR - APPLICATIONS - 1/5/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 261 N. College Ave. • Fort Collins, CO 60524 • Phone: 970-416-2740
www.fcgov.corn/bulldlng
BUILDING PERMIT APPLICATION
APPLICATION NUMBER lJ��(f) 146 APPLICATION DATE
Job Site Address 41�i7t¢ Ujjm-jjnj
44nLA Gry,11, Unit #
PROPERTYOWNERINFO: (All owner information is required - it is not optional) Phone # q' 1y t _
Last name -yLolM-cS Furst Name Middle
Street Address LA li W , l yyildlf4- (26 i S In t I city 'orA 4; l,,o ;� State�Zip f36K t g
CONTRACTOR INFO: Company Naf 1 Name AA1 Li4lq�.r2✓l.4r tAiM Contractor Phone # q?D 248 1 q gD
Lic Holder Name AA-VIN hP_L nl imdLytul City of Fort Collins License # I - 1 i l Supervisor Cert #
Mailing Address 2/ODI7 A"Al t— City 10/-j j�yL.✓ State Z-0 zip 9)r->:576-
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft
Residential Sq Ft Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units
151 Floor Sq Ft
2nd Floor Sq Ft
30 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths . % Baths '/2 Baths # of Fireplaces
Air Conditioning: Ye rNo Energy Info: ( Circle 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 #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ONor Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $'5,21 11 lqn
Description of Work:-:
Contact Name & Phone # of JOBSITE SUPERVISOR: ej-104ti ? rr -
Subcontractor Info: 1 I e6l 1(
�l Electrical 4QI74 fILCiFjIL Mechanical lei 7Ayy)-int2 Ad Plumbing
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