HomeMy WebLinkAbout4306 WIDGEON ST - APPLICATIONS - 4/29/2013City of
�.F.�ort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION /
APPLICATION NUMBER f5 l -3 (9 J O a L APPLICATION DATE "l - '_-� `). l
Job Site Address4306 Widgeon St Unit #
PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone
Last name Havens First Name Brad
773-787-9122
Middle
Street Address 4306 Widgeon St Cif Fort Collins State CO Zip 80525
CONTRACTOR INFO: Company Name T-N-T IIC Contractor Phone # 970-663-2868
Lic Holder Name Tad Bjorlie
City of Fort Collins License # Supervisor Cert #
Mailing Address 1448 Antero Dr City Loveland State CO Zip 80538
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 Ft # of Stories Bldg Height # Dwelling Units
1� Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
W Floor Sq Ft
# of Bedrooms # of Full Baths 3/, Baths
Unfiished Bsmt Sq Ft _
% Baths # of Fireplaces
Air Conditioning: YerNon Energy info:( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11
3. ResCheck wBlower Door ❑4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILIT
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ No
El
Type of Heat: ❑ Gas Electric Electric Main Breaker Size (Residential only) 1-1150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 5328
Description of Work:
Replace existing deck with new redwood, 16'x10'. Reuse outside caissons.
Contact Name & Phone # of JOBSITE SUPERVISOR: Tad Bjodie, 970-663-2868
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Fireplace
Solar Other Other 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 Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name Tad Biorlie Phone 970-663-2868
Distribution: White —Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE