HomeMy WebLinkAbout2719 Dixon Creek Ln - Applications/Deck - 05/16/2012,4Irrp yr I vvnrn�v�■ a a vcvccvrn rcn cna ncrvnovinnvvsi .�cnrrvc.�
l t `j0l`�ns 281 N. College Ave. •Fort Collins, CO 80524 •Phone: 970-416-2740
/ www.fcgov.com/buiilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER v �l�� APPLICATION DATE
Job Site Address Unit #
970-290-9300
PROPERTY OWNER INFO: (All owner information is required - it Is not optional) Phone #
Williams John Paul
Last name First Name Middle
2719 Dixon Creek Lane Fort Collins CO 80526
Street Address City State Zip
Harvest Construction, Inc. 970-227-9795
CONTRACTOR INFO: Company Name — _ Contractor Phone #
Lic Holder Name Jacob Davis
Mailing Address 120 Fairway Lane
City of Fort Collins License # Supervisor Cert #
City
Fort Collins State CO Zip 80525
_
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 204 Sq. Ft. deck Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
151 Floor Sq Ft 2n° Floor Sq Ft 311 Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/. Baths '/: Baths # of Fireplaces
Air Conditioning: YeG Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door H4. Simulated Performance Altemative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Dool
City of Fort Collins Stock Plan # List appropriate option #s LAI
UTILITIES INFO: O
Water Tap Size Sewer Tap Size Metered: Yes❑No❑ Temp. Pedestal Yes❑ No�
Type of Heat: ❑ Gas Electric Electric Main Breaker Size (Residential only) 1-1150 Amp or Less1:1 200 Amp ❑Other
Value of Construction (including labor, material & profit) $ 4560
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Contact Name & Phone # of JOBSITE SUPERVISOR:
Jacob Davis 970-227-9795
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Ci o s ordinances and state laws regulating building construction.
Applicant Signature Print Name Jacob Davis Phone 970-227-9795
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE