HomeMy WebLinkAbout1833 Golden Willow Ct - Applications/Deck - 07/23/2012City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins
IS 281 N. College Ave. - Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER y'7 /�/ T APPLICATION DATE
Job Site Address - Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name First Name Middle
Street Address it City - State Zip
CONTRACTOR INFO: Company Name t,&Wactor Phone #
Lic Holder Name City of Fort Collins License # Supervisor Cent #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Filipjgy Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not
Residential Sq Ft Comm' I Sq F
1 s' Floor Sq Ft 20d Floor S F
Finished Bsmt Sq Ft # of Bedroo s
Air Conditioning: Yes No Energy
3. ResCheck w/Blower Door 4. Simulated I
Ful
3rd
Bldg
To
G age Sq Ft
# Dwelling Units
Unfiished Bsmt Sq Ft
Baths # of Fireplaces
w
Ch 2. ResCheck w/Air Sealing
5.e /Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # _ List appropriate dption
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) $ 1w g6
a
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other 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 state laws regulating building construction.
ti
Applicant Signature Print Name Phone
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE