HomeMy WebLinkAbout1041 Ashford Ct - Applications/Patio Cover or Sunshade - 07/11/2006City of Fort Collins
APPLICATION NUMB
Job Site Address
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.coWbuilding
BUILDING PERMIT APPLICATION
APPLICATION
Unit #
PROPERTY OWNER INFO: (All owner information is required - i is not optional) Phone # 2-2 �f 7 9Last Name �L�cYL First Name ✓� Middle
Street Address T� _ -S 4EVe City /T� 84, State Ziple7"1
CONTRACTOR INFO: Company N ee� ��! �1� ��Contract Phone
Lic. Holder Name ✓ C City of Fort Collins License # 2 Supervisor Cert #
-9.'
Mailing Address City I State Zi>
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LEGALINFO:
Subdivision/PUD EDifJ (�--� Filing # Lot # Block # Lot Sq Ft
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CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
15f Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes No 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: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): P 11150 Am or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ /
Description of Work: ( Z--0 is t
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical A11141 Mechanical A1119 Plumbing
Framer '&�oofing t ,} Concrete ther
Applicant: I hereby ackno edwDistribuon:
ication and state that the above information is correct and agree to comply with all requirements
contained herein and f Fote laws regulating bui struction./ r,
Applicant SignaturPrint Name. `� Phone '1
— Office Yellow —Applicant Pink — WWW/Stormwater 7 — ro ! J j
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE