HomeMy WebLinkAbout5209 Keystone Creek Ct - Applications/Deck - 07/01/2013City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ vwwKfcgov corn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 13172 0 3'2 9 `' APPLICATION DATE
Job Site Address acuy rnCybwilG %�I VVVIX %aVu1 L unit tiff
PROPERTY OWNER INFO: (All owner information is required — It is not optional) Phone # 970.282.7940
Last name
Stout First Name Phil Middle
Street address 5209 Keystone Creek Ct City Fort Collins State CO Zip 80528
CONTRACTOR INFO: Company Name n/a (Self) Contractor Phone
Lic Holder Name
City of Fort Collins License # Supervisor Cart #
Mailing Address City State zip
LEGAL INFO:
Subdivision/PUD Stetson Creek Filing # 3rd Lot # 2 Block # Lot Sq Ft 8873.48 sf
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2173 Total Garage Sq Ft
Residential Sq Ft 2173 Comm'I Sq Ft # of Stories 2 Bldg Height # Dwelling Units
1s' Floor Sq Ft
2nd Floor Sq Ft
3" Floor Sq Ft
Unfiished Bsmt Sq Ft 1112
Finished Bsmt Sq Ft 700 # of Bedrooms 4 # of Full Baths 2 % Baths '/ Baths 1 # of Fireplaces 1
Air Conditioning: Ye✓ No0 Energy info:( circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door)
City of Fort Collins Stock Plan #
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes VNoEl Temp. Pedestal Yes❑ No
Type of Heat: Z Gas Electric Electric Main Breaker Size (Residential only) Ell50 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 4,310
Description of Work:
expand current deck rom 12 sq ft to 14 sq ft, add second stairs opposite side of current stairs
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical n/a
Phil Stout 970-282-7940
Mechanical n/a
Plumbing n/a
Framer n/a Roofing n/a Concrete n/a Fireplace n/a
Solar n/a Other n/a Other n/a Other n/a
Applicant: I h reby acknowl a ail I re this application and state that the above information is correct and agree to comply with all requirements
contained here n and o r in s and stale laws regulating building construction.
Applicant Signature Print Name Phil Stout Phone 970-282-7940
Distribution: White — Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE