HomeMy WebLinkAbout2406 Creekwood Dr - Applications/Deck - 05/23/2006City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 601696 D*V 6 APPLICATION DATE
Job Site Address
o(D cr-c?-ek Woo /'2r';r
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone�L#
Last Name First Name AO•/ 4 �4,1p l Middle
Street Address 2�0( 4- e_ • woo ��', City (—�. //n3 State IL Zip ` 2-
CONTRACTOR INFO: Company Name ��`QJ� c_-o,,,7 S_� /_-i44 ,Contractor Phone #
Lic. Holder Name'' , -tt City of Fort Collins Lice se #4—
Supervisor Cert #
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Mailing Address D .SD/la�'t n�' City Vv2l �r1� 0/I State_ Zip OAS
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
# of Full Baths
% Baths '/2 Baths # of Fireplaces ( K)
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other"
Value of Construction (including labor, material & profit) $ 7. 45 7a
C
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
� C>< IN�ff�I � ✓�etti CaM/.��sr7Le
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 qollins ordinances tate laws regulating building construction.
Applicant Signatur Print Name V ' t� - �q-,e �, Phone Z�7 1612
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE