HomeMy WebLinkAbout1356 Basseterre Pl - Applications/Deck - 07/31/2014i1lS3,d1
City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
_F6rt Collinsl281 N. College Ave. • Fort Collins, CO 80524 - Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER BI V 09 APPLICATION DATE l 7 I I
Job Site Address 1356 Basseterre PI
Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name Skoglund First Name Kory Middle
Street Address 1356 Basseterre PI cityFort CollinS State CO zip80525
CONTRACTOR INFO: Company Name T-N-T IIC Contractor Phone #970-663-2868
Lic Holder Name Tad Bjorlie City of Fort Collins License # Supervisor Cert #
Mailing Address 1448 Antero Dr city Loveland State CO Zip 80538
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not induding basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1� Floor Sq Ft
2nd Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces
Air Conditioning: Ye�]Non Energy info:( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck wBlower Door ❑ 4. Simulated Performance Altemative❑ 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 7942
Description of Work:
Replace 2 decks with new - 7'x20'. One over the other
Contact Name & Phone # of JOBSITE SUPERVISOR: Tad Bjodie, 970-663-2868
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 of Fort Collins or ances tote laws regulating building construction.
Applicant Signature �— s Print Name Tad Biorlie Phone 970-663-2868
Distribution: White —Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPORES 180 DAYS FROM APPLICATION DATE