HomeMy WebLinkAbout1312 Ash Dr - Applications/Deck - 07/27/2009BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
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www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER d/L/t-, / / APPLICATION DATE / — CJ"'%
Job Site Address \3\2 P►s'�, Ot Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name 0k-'1C.c0- First Name Yte�`l� Middle
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Street Address \3\2 p\• r ``__City �cQ(N cbkk"'S State C--O zip �a5
CONTRACTOR INFO: Company Name Nn•-'TQ-[.� �.�0¢13 Contractor Phone # *t'4oAZo- 7-194
Lic. Holder Name City of Fort Collins License # F - %\Z Supervisor Cert #
Mailing Address V&SO bl V rI:k V- City '�ei\ (-6A1 ^S State C.O zip $OSZs
LEGAL INFO:
Subdivision/PUD �W, aAk t"\'Ae-4 Filing # 10-\%. Lot # 3 S Block # Lot Sq Ft 6S00
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft \%\'I Comm'I Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft
# of Full Baths
# of Stories 2 Bldg Height # Dwelling Units
_ Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
_ % Baths 'Y2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric
List appropriate option #s
Metered: Yes or No
Electric Main Breaker Size (
Value of Construction (including labor, material & profit) $
nPa rrintinn of Wnrk• b.,, QY <r. V-,. 1 * 1
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Temp. Pedestal: Yes or No
residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
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o► *-cost SA "I- P"F 0 a V S C"' � -kk c %0% e..�. V.at� s %k c btZ �n\a.[ a 0 ; •r.�'�Q ci.: �.�Q\..
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Contact Name & Phone # of JOBSITE SUPERVISOR: S or,1 �iN� ci20 —L3 Sq
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 City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name S sa Phone °\10"\10 ^1-3S fb
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE