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HomeMy WebLinkAbout1020 W Oak St - Applications/Deck - 06/26/2007BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 WWW.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER APPLICATION DATE (0'g9 Job Site Address /Q;—;>© (U O./LLk Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Last Name 0`'�l First Name /-'I,644.10— Middle Street Address 16?0 W 046� City F4-. 6Qltlnjs State-696ip�sZr CONTRACTOR INFO: Company Name Lic. Holder Mailing Address. LEGAL INFO: Contractor Phone # City of Fort Collins License #. City State Supervisor Cart #. Subdivision/PUD PIA4-12 Filing # Lot #_I_g Block # Z Lot Sq Ft152lfY� CONSTRUCTION INFO: Total Building Sq Ft (not including basement) f Rq S Total Garage Sq Ft 4/e) Residential Sq Ftr Comm'I Sq Ft # of Stories Bldg Height Z # Dwelling Units 1st Floor Sq Ft piss- 2nd Floor Sq Ft — Unfinished Bsmt Sq Ft I Finished Bsmt Sq Ft 4/�Z0 # of Bedrooms 3 # of Full Baths 3/4 Baths 1 '/2 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. E-Star w/Blower Door 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: Oor No Temp. Pedestal: Yes or No Type of Heat: KGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less X20O Amp ❑ Other Value of Construction (including labor, material & profit) $ 4 3 W Description of Work: Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Roofing Mechanical Concrete Plumbing 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 st ws regulating building construction. I Applicant Signature/l= c—,�i�. Print Name )ClearlOr � f f111 Phone qa7 't ��i Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE