HomeMy WebLinkAbout6315 TREESTEAD RD - APPLICATIONS - 10/20/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
www.fcgov.com
BUILDING PERMIT APPLICATION
Last First Middle Phone
asLem rku-r,
CDStreet Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE. City State Zip CO
WY. PL. ST CT RD. AVE.
Ti
a
wai
Filing Number
Lo Block
Lot Area
o
Building Square Footage
Number of Stories
Building Height
w
L
Number of Dwelling Units
Number of Bedroom Bathrooms nfinishe (shed Basement Sq. R.
Cc
,
Stock Plan Nu ber/Options
Rad
Energy Score/E-Star/Air Sealing/ lower Door
(p
Y /
y
Water Tap Size '
SewerTaq�Size
Metered
�S
Type of Heat:
Electric Main Breaker Size sidential Only)
Temporary Electric Pedestal Requested:
as ❑ Electric
❑ 150 amp or less amp ❑ other
&00
es ❑ No
OLauatll&.Immm(including
labor, material, profit) $ 3
Description of Work:
II 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 ordinlnces and state laws regulating building construction.
'a Signature
Print Name ( I YI, �_ TtP�f e-*t 13 Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE