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2815 Dixon Creek Ct - Applications/Shed - 06/24/2011
City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER '©�`y O APPLICATION DATE 6/24/1 1 Job Site Address 2815 Dixon Creek Ct. Unit # PROPERTY OWNER INFO, (All owner information is required - it is not optional) Phone # 223-1461 Last name Mathews First Name Susan and Jon Middle Street Address 2815 Dixon Creek Ct. City State Co Zip 80526 CONTRACTOR INFO: Company Name Tanner Custom Carpentry Contractor Phone # 970-669-6145 Lic Holder Name Jason Tanner City of Fort Collins License # D-612 Supervisor Cert #. Mailing Address 1053 B Big Thompson Rd city Loveland state CO Zip 80537 LEGAL INFO: Subdivision/PUDQuail Hollow Filing # 5 Lot #4 Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 84 Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 111 Floor Sq Ft 2n° Floor Sq Ft 3'u Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths '/ Baths # of Fireplaces Air Conditioning,. YeNo Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11 3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doora City of Fort Collins Stock Plan # List appropriate option #s UTILITIES INFO: Water Tap Size Sewer Tap Size Metered: Yes ❑NT-1 Temp. Pedestal Yes❑ No Type of Heat:11 Gas Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less 11 200 Amp DOther Value of Construction (including labor, material & profit) $ 3200 Description of Work: Addition of 7'x12' outdoor shed over concrete slab, finish to match house Contact Name & Phone # of JOBSITE SUPERVISOR: Jason Tanner 970-692-0166 Subcontractor Info: Electrical n/a Framer TCC Mechanical n/a Plumbing n/a Roofing TCC Concrete Miller 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 state laws regulating building construction. Applicant,Signature Print NameJason Tanner Phone 970-669-6145 Distribution: White — Office Yellow — Applicant Pink — VWWV/Stormwater 7MUS &[P[PO.0(CQ4O0M [EK POR ES 180 ID&VS fFROEW A P[PLO(CNTOW 0&7 E