HomeMy WebLinkAbout926 RIDGE RUNNER DR - APPLICATIONS - 5/31/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 �L
www.fcgov.com/buildingrv/
/^/ /��// BUILDING PERMIT APPLICATION
APPLICATION NUMBER1 / � / r —7 APPLICATION DATE �3 �.i
Job Site Address `- i' A p _jd U '�iJ_0rLD,✓ � nit qD $4 5' �� 1
PROPERTY OWNER INFO: (All owner information is required— it isnotoptional) Phone #�(1'�
Last name V9 me In First Name t rir Middle
Street Address 01E(p k i a G % 4� Qkn P,PJ 'n Ve City �6 Y` Co 1 I 1 i/) S State Co zip rbO573'2�
CONTRACTOR INFO: Company Name TNT . ILL (✓ Contractor Phone #w' ' o) U (o 3 - XB& n
Lic Holder Name 140-11 1 *1_0 T `I le City of Fort Collins License # Supervisor Cert #
Mailing Address J! f4$ h4s -&ro 7)r-tw_ cityLnyelay%A State Co zip 9053Qi
LEGAL INFO:
Subdivision/PUD �Yalr I C 1 ��OFiling # ``�� L(o�t,# _`I ^',Block # Lot Sq Ft�` O
CONSTRUCTION INFO: Total 6ttitd�I'g Sq Ft (not iin�d�uddiing basement) 2log CA,J± 4 9-Ck- Total Garage Sq Ft NIL
Residential Sq Ft �t Comm'I Sq Ft I\I I f'i # of Stories=&L Bldg Height M,� # Dwelling Units ! J 4-
151 Floor Sq Ft t\ 2nd Floor Sq Ft No- — 3" Floor Sq Ft Njer Unfiished Bsmt Sq Ft
_�
Finished Bsmt S Ft # of Bedrooms �# of Full Baths -'/. Baths �'/ Baths �# of Fire laces
q P
Air Conditioning: Ye 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 #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes F-]NoF] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas11 Electric Electric Main Breaker Size (Residential only) Ell50 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $JLi 61RCJ.inS
Description of Work: UACa yy) a4r,lt__,_( C�(X'YtpcS_k�r) tul-M bP,tvj/IPS. -�Aewewi(i7(�S 9� S`iatrS.
Contact Name & Phone # of JOBSITE SUPERVISOR: 1'/c(� (OnQ�j(j(p?2-%1A
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Otherf
Mechanical
Concrete
Other
Plumbing
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 ordinances and state laws regulating building construction. (� q
Applicant SignatureOd) Print Name eO SfuyYt I�iVf &P1 Phone V— 1 J -8 �93
Distributioi n: White —Office Yellow —Applicant Pink — WVWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE