HomeMy WebLinkAbout4750 Pleasant Oak Dr - Applications/Garage - 05/17/2006 (2)BUILDING PERMITS RL INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER (JC % O APPLICATION DATE 6— t ( — Q 62
Job Site Address .47SV v0k PG Unit #. 67arxpr: 8
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 7ZO - 4 QZ - 404.t
Last Name MAG <r'W 6 First Name D041 Middle
Street Address 7"7 E 801" 101/felt) A* dw City XA1Cy 4eW&00 State e0--Zip ;;& ///
CONTRACTOR INFO: Company Name PX1L/4nc 40"r Contractor Phone # J vl - 777 - 7999
Lic. Holder Name -TOW *,)o#4;AWj0Z City of Fort Collins License # 9-z3o Supervisor Cert #
Mailing Address % S. G�4LN/�i4GO City bAC /✓4•G State Cd Zip Z 23
LEGAL INFO:
Subdivision/PUD D4,e,e/" BUSIWOK6 /SAG k Filing #&_ Lot # /
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq
Total Garage Sq Ft Z' its- SF
Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2"d Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 3/4 Baths /z Baths # of Fireplaces
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) $ 73, ViK. 80
Description of Work: dex) BF t55d/oz )W a.51.r/G /0 CAA
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 Colliin, ifinances and state laws regulating building construction. 2
Applicant Signature 141pA " Print Name (,�W uNr" Phone 303 777" 7111
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater vo 31 L -q7q?
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE