HomeMy WebLinkAbout2312 Eastwood Dr - Applications/Deck - 03/28/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 2)I I 6 140-1 APPLICATION DATE 3- d U I I
tOob Site Address Q 31a, E�AS i klod 1) D9, ?�/t &1) J05.� 5 Unit #.
4PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # / -70 - Al 4S ` �% 9 O 3
Last name. S aN First Name /-� A 9 1 d 1V Middle 25
Street Address ��� �5✓�% Q� City', Stateeo Zip 90$.2$
,-CONTRACTOR INFO: Company Name Contractor Phone #
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
15t Floor Sq Ft
Finished Bsmt Sq Ft
Comm'I Sq Ft
2nd Floor Sq Ft
City of Fort Collins License #.
City
Filing # Lot #.
Supervisor Cert #.
State Zip
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft Unfiished Bsmt Sq Ft _
# of Bedrooms # of Full Baths % Baths '/2 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. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option #s.
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, material & profit) $A- /00 rC3
Description of Work: R MOi/W & PA91" 0 F A PRC & x / s 71AJ& DECk SiA lR 5 Rt PLAC IV 6- w /7H A
NEw SET OF 57A/R5 A S PER PLAN
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
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
yyyoff Fort Collins ordinances
and state laws regulating building construction.
Applicant Signature 2 �; �rG�fd' Print Name MA R l a Al AjfL 5 oA/ Phone %f/• A1q5. 11V 3
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE