HomeMy WebLinkAbout6915 Ranger Dr - Applications/Deck - 08/22/2006BUILDING PERMITS & INSPECTIONS DIVISION
' q P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www. fcgov.com/building
Citv of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER " G' 0 .4o - 3 APPLICATION DATE
Job Site Address �/ $� ,r i V 1. Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name AMJf.rx-t .v First Name Middle 04AW I
Street Address ` +� �� .S# a%, Pi J4 City 6I;0 t State'";'_, Zip Y,6,
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address CityState Zip
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 # of Full Baths % Baths '/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: 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) $ { 1
Description of Work: . LI, f
Contact Name & Phone # of JOBSITE SUPERVISOR: A)Aas— AA, &)t r-a ckv
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete 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 Ci of Fort Collins rdipances and state laws regulating building construction.
Applicant Signature !! Print Name v i A n, J ae-j,c,^- Phone 7 °` 2. F , }
Distribution: White — Office Yellow — Applicant Pink — VWVW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE