HomeMy WebLinkAbout7220 Randolph Ct - Applications/Deck - 09/07/2005BUILDING PERMITS & 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 ✓ ` l{i APPLICATION DATE
Job Site Address 77-2o TAUticLfri ('T fT cetI,A);- to f(oSELUnit#
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # e? 7,, - 2
Last Na
Street A
F,1
u
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Address
First Name_M 1
iA-C L City
Contractor Phone #
-IZy a
Middle
State Zip 0
City of Fort Collins License # Supervisor Cert #
City
State Zi
LEGAL INFO:
Subdivision/PUD6 s %0- Y
Filing # 2 L, Lot # Block # 0,0 0
Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft (off 3
Residential Sq Ft 7-4 Comm'I Sq Ft # of Stories- Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt S IS
q Ft 9 Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths Z % Baths 'h Baths # of Fireplaces I
Air Conditioning: (nDl 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 #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: Lf Gas ❑ Electric Electric Main Breaker SZ* a (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ ~ j00
I-F � (�
Description of Work: _ fn Q 7() ZhM c dO!' F: %► - A, r- k .. i
Contact Name & Phone # of JOBSITE SUPERVISOR: AAikf I (& rrH
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that 1 have read this, pplication and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collin rdin es.- d state laws regulating building construction.
Applicant SignatureOQ Print Name /"l�Ci4a Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE