HomeMy WebLinkAbout7445 Matheson Dr - Applications/Patio Cover Or Sun Shade - 05/24/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80527AS80 • Phone: 221-6760
iiA www kgov coWbuilding
CityofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER R ()CeO APPLICATION DATE
Job Site Address 77Z414 lJ / a 4 ke Sam 1�� , 305j g- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
/
Last Name MCI T First Name :( rc Middle C
Ji •
Street Address �� � e SD n City } . CG //;n 5 State (V Zip 50��5-
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Add
Contractor Phone #
City of Fort Collins License #.
City.
State
Supervisor Cert #,
LEGAL INFO: 11 / �I
Subdivision/PUD� �� CJI � � �l S Filing # r� Lot # 3� - t Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units
1 st Floor Sq Ft
# of Bedrooms
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 % Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door
1
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
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 (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
1 I / 7 is
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Other
Applicant: I hereby acknowledge that I have d this application and state that the above information is correct and agree to comply with all requirements
contained herein a rt-£gllins dinanc s an ate laws regulating building construction.
Applicant Signature -- Print Name � r' � 1 C1 5J11 Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE