HomeMy WebLinkAbout6114 Keswick Ct - Applications/Deck - 05/05/2010City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N College Ave Fort Collins CO 80524 Phone 970-416-2740a�75
/ www fcgov corn/budding / %/�/ 7J
BUILDING PERMIT APPLICATION ✓
APPLICATION NUMBER 100A(4�2,2 APPLICATION DATE
Job Site Address b 114 KasW I c-K C-r. ;T CoLkg4 8y5ZSUnit #
PROPERTY OWNER INFO. (All owner Information Is required - It is not optional) Phone # 970 —377 -Z 55�(
Last name P4F-LL? rjFirst Name M 1 CAAFL Middle
Street Address 10114 keS W ICK CT City SORT Cou.f lJ5 State GO Zip 905Z5"'
CONTRACTOR INFO Company Name 5 UN DECK DE516145 Contractor Phone # 9'70 - &90 -9y3 %
Llc Holder Name J Of/N 812/D /x H,jM City of Fort Collins License # DZ-1 n Supervisor Cert # % - D
MadingAddress INV WiliQTWhJ67DN AUE City FORT 61-4/Nj State eO Zip ,W5,,"
LEGAL INFO,
Subdivision/PUD 4(/A►7-/Nls7DfJ //YLLf Filing #_(_ Lot # ?,a_ Block # Lot Sq Ft
CONSTRUCTION INFO, Total Building Sq Ft (not and d e basemem) 00 Total Garage Sq Ft
Residential Sq Ft Sad Comm I Sq Ft # of Stones Bldg Height # Dwelling Units
1 Floor Sq Ft 2 Floor Sq Ft 31"Floor Sq Ft Uri fished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths / Baths /2Baths # of Fireplaces
Air Condrhoningr Ye[]NoE Enerqy info ( Circle appropriate choice) 1 ComCheckR 2 ResCheck w/Air Sealing 11
3 ResCheck w/Blower Door Ij
4 Simulated Performance Aftemative❑ 5 Prescriptive w/Air Sealing11 6 Prescriptive wl Blower Door[
City of Fort Collins Stock Plan #
List appropriate option #s
Water Tap Size Sewer Tap Size Metered Yes ❑Nol:l Temp Pedestal Yes❑ No
Type of Heat nGas ❑Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor material 8 profit) S 3 (i 5 7—
Description of Work C 4ZE"QG, Ex/`✓"T NLr WIA Nj&W PROAUC:T-
MAAW'ACrirr2CA &1 #9 "AN'Tb liAluAe,h m i.ha ,l
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info.
Electrical
Framer
Solar
Mechanical
Roofing Concrete
Other Other
Plumbing
Fireplace
Other
Applicant 1 hereby acknowledge that I have read this application and state that the above information is cored and agree to comply with all requirements
contained herein and City of F Collins ordin n s and state laws regulating building construction Applicant Signature Print Name <)NN 6(Z1 U W►1Ih Phone C1717IF %qa -9 Y3 2
U - — -0 - -