HomeMy WebLinkAbout2319 Marshwood Dr - Applications/Patio Cover Or Sun Shade - 08/26/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER.L/�/ r50 1 � r "� APPLICATION DATE
Job Site Address 23tl 14Af-64(WAOD Or. FT. M W/\!S Cd &6Z Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 97o .L;25oo05
Last Name Wele;,� First Name M&j ,6i7RA- Middle
Street Address .2311 IQSNWyp Pe, I City FT. CVLuAI& State zip OP05245
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Address
LEGALINFO:
Subdivision/PUD
Contractor Phone
City of Fort Collins License # Supervisor Cert #.
State
Filing # Lot # Block # Lot Sq Ft `310- 61,0
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft /666' Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units
1st 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
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
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 " J
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric
Value of Construction (including labor,
Description of Work:
List appropriate option
Metered: Yes or No Temp. Pedestal: Yes or No
Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
erial & profit) $ -&-- 3.-;? / 6
PA-rt O
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
1m•
Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit f Fort /�Collins ,ordin ces and state laws regulating ounaingl construction. �,% 9�
Applicant Signature d�til'ft6c Print Name/"/i{ i Wjff* 4 / ► 1Phone
10 Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE