HomeMy WebLinkAbout2208 W Magnolia Ct - Applications/Addition or Alteration - 04/13/2007City of Fort Collins
APPLICATION NUMBE
Job Site Address
PROPERTY OWNER IIS
Last Name n/]g
Street Address � . :A[
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION DATE y /,3 -�
(All owner information is`fequired - it is A optional)
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Add
LEGAL INFO:
Subdivision/PUD
First
Unit .{#
Phone # t. L 9 Z "&Qj 3
Middle
I-t(6 State Zip
Contractor Phone #
City of Fort Collins License # Supervisor Cent #.
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
State Zip
Block # Lot Sq
Total Garage Sq Ft
Residential Sq Ft _ Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft u1 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms 1 # of Full Baths 3/< Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes q Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: K Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)�$ ,�0'0
Description of Work: - 1 a k Y-bo �
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowledg at I have r this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fo ollins ordi nc s and st aws regulating building construction.
Applicant Signature Print Name apvc �(44Z& _ Phone �CJ 2 —6Y 32
Distri ution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE