HomeMy WebLinkAbout2774 Canby Way - Applications/Deck - 09/19/2011City of
I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Cottins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgev.conii/buIIding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 �X �� ! � APPLICATION DATE
Job Site Address 2774 Canby Way Fort Collins, CO 80525
Unit #
PROPERTY OWNER INFO: (All owner Information is required- it is I I not
�optional) Ph'onle # 1 - ) (A o �
Last name , N First Name f\ 1 V'��V Middle 1
Street Address 2774 Canby Way City Fort Collins State CO Zip 80525
CONTRACTOR INFO: Company Name
Lic Holder Name
Contractor Phone #
City of Fort Collins License # Supervisor Cert #
Mailing Address City
LEGAL INFO:
State Zip
Subdivision/PUD V, +7AX Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units
1n Floor Sq Ft
2nd Floor Sq Ft
3' Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces
Air Conditioning: YerNoo Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11
3. ResCheck wBlower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO: ^,
Water Tap Size Sewer Tap Size Metered: Yes ❑Nol--] Temp. Pedestal Yes❑ No El
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $ L'Z • 35/4F 1 o3 'I
Description of Work:
Addition of 8 ft by 17 ft deck to existing 1 Oft by 12ft deck with new composite decking and railings installed on all.
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer Roofing
Solar Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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. l, ff n
Applicant Signature Print Name tt .jCj&5C/r\Aj PhoneCf'--7to c: //, I t 7
Distribution: White — Office Yellow —Applicant Pink — VWJW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE