HomeMy WebLinkAbout831 Kingston Dr - Applications/Deck - 08/28/2015CityOT COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
l�n BUILDING PERMIT APPLICATION
APPLICATION NUMBER �// "' —! / APPLICATION DATE
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # g / V ` Z) -. /1 ),,
Last name- Q y First Name 5src i Middle -F��
Street Address $aJ� Q/"- —a � �� City 0 l' 0, � Q State _Zip
eONTRACTOR-INFO: Company Name Contractor Phone #
Lic Holder Name
Mailing Add
City of Fort Collins License # Supervisor Cert #
LEGAL INFO:
Subdivision/PUD_"j Filing #.
CONSTRUCTION -INFO: -Total Building Sq Ft (not including basement)
Residential Sq Ft I b 0 p! Comm'] Sq Ft # of Stories
V1 Floor Sq Ft
2r" Floor Sq Ft
State Zip
Lot # 033 Block # Lot Sq Ft61 1 �5 0/
3"' Floor Sq Ft
Total Garage Sq Ft 4��
Bldg Height # Dwelling Units
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft
# of Bedrooms 1� # of Full Baths
2
-/< Baths /2 Baths I # of Fireplaces
Air Conditioning: (5 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)
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NMI
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Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknow edg that I have re d this application and state that the above information is correct and agree to comply with all requirements
contained herein and City f �pri Collins or ' ces and s to I w regulating building construction.
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Applicant Signature I / Print Name ah ) I 'A1)� _Phone - I "�) '
Distribution: hite - ffice allow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE