HomeMy WebLinkAbout1349 Cape Cod Cir - Applications/Patio Cover or Sunshade - 10/19/2005t BUILDING PERMITS & INSPECTIONS DIVISION ,
P.O. Box 580 •Fort Collins, CO 80522-0580 • Phone: 221-6760
www fcgov com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER V v O APPLICATION DATE
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name a -i /� First Name%� rid IQ Middle
Street Address `t .Q (f4d Cl r c-JV— City o ?' (.6 // % n S State (::�O Zip If dS.Z S
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
I
LEGALINFO:
Subdivision/PUD Vd l (jj!�4 Mu [!_ Filing # Lot # Block # _ Lot Sq Ft a
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential \Ft
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths 'Y2 Baths # of Fireplaces
Air Conditioning: Yeq No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower
City of Fort Collins Stock Plan
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ (�
d�{ description of Work: K /% 2G, & (' -
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Other
Applicant: I hereby ack dge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein an ity Fort Collins ordinan s an tate laws regulating building construction. ,% %,�,;
Applicant Signatur Print Name 2VIV-
�� /uQ t I e Z Phond - Z.2 S ,2.20g
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE