HomeMy WebLinkAbout843 Bramblebush St - Applications/Deck - 07/24/2014City or Collins
DEVELOPMENT & NEIGHBORHOOD SERVICES
C®« t ins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ► J H C65 � APPLICATION DATE 07/24/2014
.lob Site Address Greenbriar Park: Unit #
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PROPERTY OWNER INFO: All owner information is required - it is not optional) Phone #
Last name City of Fort Collins -Parks First Name Middle
Street Address 413 S Bryan Ave city Fort Collins StateCO Zip80521
CONTRACTOR INFO: Company Name Play Power LT Farmington Contractor Phone #
Lic Holder Name City of Fort Collins License # Supervisor Cart #
Mailing Address 8484 Solution Center cityChicago State IL Zip60677-8005
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft
Residential Sq Ft Comm'] Sq Ft 4941 # of Stories Bldg Height # Dwelling Units
1" Floor Sq Ft
2ne Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths Y Baths # of Fireplaces
Air Conditioning: YerNon Energy info: ( Circle appropriate choice ) 1.ComCheck11 2. ResCheck w/Air Sealing 11
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 # List appropriate option #s
UTILITIES INFO:
Water Tap Size na Sewer Tap Size na Metered: Yes ❑NII Temp. Pedestal Yes❑ 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)
Description of Work:
Playground renovation at Greenbriar Park. All existing playground equipment and surfacing will be removed
Contact Name & Phone # of JOBSITE SUPERVISOR: Jill Wuertz 970-416-2062
Subcontractor Info:
Electrical Mechanical
Framer
Roofing
Concrete
Solar Other 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 Collinsordinancesand state laws regulating building construction.
Applicant Signature Q.. i /VI �' Print NameAl Mertz Phone416-2062
J
Distribution: White - Office Yellow -Applicant Pink-WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE