HomeMy WebLinkAbout814 Saddlebrook Ln - Applications/Deck - 09/05/2018City of
/Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
APPLICATION NUMBER 6 I 6 -),s &2-
Job Site Address � I Ll' Sc,
BUILDING PERMIT APPLICATION
r-1771A[9SIP7:1
Unit #
PROPERTY OWNER INFO: (All owner information is required - it isnotoptional) Phone # 970- 1 9 8 - 7 / 5_6
Last name I ��j\ 1 1 P Y First Name `\ Middle CO�l
Street Address y �Qdt t"7i\((C�� YJ�'DO D+hy� 1 City T �7+ cy(( ; v� State C zip d.X 5
CONTRACTOR INFO: Company Na1mefknl'rt5 Qnth \�Mc�\ r oH9 eriw�eli h6 Contractor Phone # 97-0)- 6 6.3 1
Lic Holder Name 1\ Mml �-�--.. liyll k11A t4 L City of Fort Collins License # Supervisor Cert # �1
Mailing Address 4013 S�w�otn� to City �Q 1 k � S State CO zip 8050QJ5
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'I Sq
1 s' Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
List appropriate option
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 ❑ 20O Amp ❑ Other
Value of Construction (including labor, material & profit)
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer Roofing
Solar Other
Mechanical
G
Concrete
Other
t, t� I / C.7 " 0a t
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 nty of Fort C llins ordinances a d ate laws regulating building construction. `C
Applicant Signature Print Name ay%Acx E. fiO4P'LL Phone 97D-631-go.31
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE