HomeMy WebLinkAbout213 S Sherwood St - Applications/Addition or Alteration - 10/17/2007BUILDING PERMITS 8L INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, CO 80522-0550 • Phone: 221-6760
www.fcgov.com/building
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Citv of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER ,I ) v `v ` 4� APPLICATION DATEA04 74
Job Site Address 913 5, �&4";1--,p wooD zz f Unit # \ C
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name Vj rlrl,
Street Address
CONTRACTOR INFO:
Lic. Holder Name
Mailing Address
LEGAL INFO:
Subdivision/PUD
me Middle QQ���'��
I City���/%Q State Zip 05
f Contractor Phone # �76 7
City of Fort Collins License # 19" Supervisor Cent # 16026 D/
City4edden ,i State Zip
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq Ft
1
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms Z
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths Z- % Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door c�
List appropriate option #s
Water Tap Size Sewer Tap Size
Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size
Value of Construction (including labor, material & profit) $
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer Roofing
esidential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Mechanical Plumbing tKAVZ-PENJI & J / '�vrrH,lr
Concrete Other �u.f7b✓r��
Applicant: I hereby ack edge that I ha read this application and state that the above information is correct and agree to comply with all requirements
contained herein and y Fort Collin or i ances and state laws regulating building construction.
Applicant Signature Print Name �l.S Phone ,?,, 6yv-2
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE