HomeMy WebLinkAbout6313 Compton Rd - Applications/Deck - 06/25/2010BUILDING PERMITS & INSPECTIONS DIVISION ✓l0 r /
rA PO Box 580 • Fort Collins CO 80522 0580 Phone 221-6760
www fcgov com/building
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City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER b I I 6 APPLICATION DATE CO 05`�
Job Site Address 6.3 I3 e .OnAD-6\ -el-k Unit # /
PROPERTY OWNER INFO j�(All owner information is required - it is not optional) Phone # ol% S��b
Last Name S C,k 1, 4 // ( pFirst Name Ldo � l Middle
Street Address (� eOn 3 City State��i Zip
� CONTRACTOR INFO Company Name 01r- Contractor Phone #
Lic Holder Name I City of Fort Collins License # /Y M o2CV7 Supervisor Cert
Mailing Address 123,5_ /y City. LftO" State CQ Zip <yn,
LEGALINFO }, 1 ) �/
Subdivisio PU �r Ql� i� f40 �\ Fihng # �! Lot # I Block # � Lot Sq Ft ��6�
CONSTRUCTION INFO Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft # of Stones Bldg Height # Dwelling Units
161 Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths 'Y2 Baths # of Fireplaces
Air Conditioning Yes 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 ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor matenal & profit) $
Description of Work
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
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 grdinances ands tb laws regulating building constructio(n
Applicant Signature ^� 0�1Print Name ` 64-`ti Phone
istnbution White -Office Yellow - Applicant Pink - MdStormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE