HomeMy WebLinkAbout6227 TREESTEAD CT - APPLICATIONS - 8/24/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
■ www.fcgov.com/building
Citv of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE
Job Site Address V)D-an �r-Ce-'Tr�� Uniit#
PROPERTY OWNER INFO: (All owner information is required — it is not optional)Phone # jt-1 ID
('
Last Name br" I� n First Name { l,&haryA Middle
Street Address (7;. VT- City "F+ c -al l in S State CO Zip DdSa-
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
Contractor Phone #
City of Fort Collins License # Supervisor Cert #.
City
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
State Zip
Block # Lot Sq Ft
b
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: (9 No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2^d Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft -i
# of Full Baths % Baths 'Y2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s M
Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or
Value of Construction (including labor, material & profit) $
.
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical , S
C.(t W (:katrl"'b`ch Framer Roofing
f a e-0
❑ 200 Amp ❑ Other
F L
Mechanical —A I 'C %jj ()bk Plumbing � 1I rn,�?Iv,
Concrete
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 ort Collins ordinances and state laws regulating building co�nst�'ruction. Q
Applicant Signature Print Name I//nw� SOYI Phone � 1
Distri ti n: ite - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE