HomeMy WebLinkAbout155 Fairway Ln - Applications/Deck - 06/21/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.icgov corn/bullding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER J� /_2 8 13 APPLICATION DATE
Job Site Address 155 FAIRWAY LN Unit # _._ _
PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone # 9707207-9747
Last name KORTH _ First Name DAVID Middle
Street Address 155, FAIRWAY LN City FORT COLLINS State CO Zip 80525
Company Name
Lic Holder Name
Mailing
Contractor Phone #
City of Fort Collins License # Supervisor Cart #
State
Subdivision/PUD FAIRWAY ESTATES Filing# Lot# 18A Block# LotSgFt 148,553
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1� Floor Sq Ft 2ntl Floor Sq Ft 31" Floor Sq Ft Unfiished BsmtSq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/4 Baths '/ Baths # of Fireplaces
Air. Condtfoning. YeEoNEnergy info: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door�4. Simulated Performance Alternative[] 5. Prescriptive w/Air Sealing S. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap S¢e Metered: Yes []No� Temp. Pedestal Yes❑ No El
Type of Heat: El Gas FElectric Electric Main Breaker Size (Residential only) F-1150 Amp or Less 11 200 Amp ❑Other
Value of Construction (including labor, material 8 profit) $
Description of Work: EXPAND EXISTING 84 SO FT DECK TO 196 SO FT
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Subcontractor info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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 City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature O Print Name OA U K o 12rl4 Phone / 7-�'-23_7—q 7�t7
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE