HomeMy WebLinkAbout2945 Parkside Dr - Applications/Patio Cover Or Sun Shade - 11/22/2010City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 i�l� c� APPLICATION DATE
Job Site Address 2945 Parkside Drive
Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 970.224.6096
Last name City of Fort Collins First Name Park Planning and Development Middle
Street Address 215 North Mason City Fort Collins State CO Zip 80524
CONTRACTOR INFO: Company Name
Lic Holder Name
Contractor Phone #
City of Fort Collins License # Supervisor Cert #,
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Richard's Lake/Waters Edge Filing # 1 Lot # tract J Block # Lot Sq Ft 6 acre
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 400 sf Picnic Shelter Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft.
15' Floor Sq Ft
Finished Bsmt Sq Ft
2"d Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/ Baths # of Fireplaces
Air Conditioning: YeNo Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size na Sewer Tap Size na Metered: Yes []No7 Temp. Pedestal Yes❑ No ❑�
Type of Heat: Gas nElectric Electric Main Breaker Size (Residential only) 550 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $
15,440
Description of Work:
Richard's Lake Neighborhood Park Picnic Shelter. Icon Shelter, square hip roof 20' x 20' with (4) 6" columns
Total Install hT Ri lilt for Fi in InC ( tavern I inSChinckV4 97171 91.5 6747) fnotinq & bolt inSpeCtIOR jler CTl Thmmpcnn
Contact Name & Phone # of JOBSITE SUPERVISOR: Matt Day, City of Fort Collins Landscape Architect 970.224.6096
Subcontractor Info:
Electrical na
Framer na
Solar na
Mechanical na
Roofing na
Other
Concrete JAR
Other
Plumbing na
Fireplace na
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 City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name,
Phone
Distribution: White —Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE