HomeMy WebLinkAbout6315 MORNING LIGHT PL - APPLICATIONS - 5/22/2019City of
Fit Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
330 Cr
FOR OFFICE USE
APPLICATION NUMBER: APPLICATION DATE: S as I I "I
Job Site Address VD d S- Mdrnlno, Loh" C L Unit#
PROPERTY OWNER INFO: (All owner informa ion is required — NOT optional)
Last Name L-e (;C < ' First Name S+e-V_QY1 Middle 4�
Street Address Lo31 S�)'y)atn',rl!3 Zi`�City 1::vY� C-ej��i/11 State LU Zip
Phone# 910-36'7-Z3-6L% Email
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name ) OL-Y
License Holder Name -TV) Oro OL3 t—rc
L, C--
LIC # CERT #
LEGAL INFO:
Subdivision/PUD fling # _Lot # Block # of Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft.
Residential Sq Ft Commercial Sq Ft # of Stories __Bldg Ht # of Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq F,
Finished Basement Sq Ft I sco 7 # of Bedrooms 1 # of Full Baths
Baths Yz Baths ® # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
ComCheck ❑ UA (ResCheck) ❑ SPA (Simulated Performance ❑ prescriptive❑
Alternative)
Air Conditioning? YES Fy NO ❑
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes
Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
For Commercial remodels and tenant finishes, please answer the following questions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
ERI(Energy Rating Index) ❑
❑ No ❑
❑ Other ❑
Existing Tenant❑ New Tenant❑
If for a new tenant, is this the first tenant to occupy this space?
Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space?
Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No ❑
If yes, please describe:
Value of Construction (materials and laborl: $ =)� = --Q�
Description of Work: )005eVYUAA-�, 00,0- !aP-6cooYY)
JOBSITE SUPERVISOR CONTACT INFO: Name 'r'Gm �4--e \\ \ Phone 51 r-Ll y
SUBCONTRACTOR INFO: Electrical 46N br06) Q �-�Qclf r L— Mechanicalyq I dew j-ya<_
Plumbin p ` f �I g�Y)0y S T IJ�VI dui �'! Qj Framing 1- ,AlLkrwpci� (&8b "" Roofing
Fireplace
Solar
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (ACM's).
❑ I do not know if an asbestos inspection has been conducted on this property.
❑ An asbestos inspection has been conducted on this property on or about (enter date)
❑ An asbestos inspection has not been conducted on this property.
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.
Applicant Signature 21' Type or Print Name if'l w ej 146t
5--y4 VI Email 'r6i'1'),-�fGt-(y%t((/t1(b�.COYIS�VC 1O� 0-5MA),(Ok4
Phone #
I
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE