HomeMy WebLinkAbout1430 Stonehenge Dr - Applications/Patio Cover or Sunshade - 07/25/2017City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1,/ 1 " I ()FO APPLICATION DATE -7 / 15_/ "
Job Site Address 1 43o <:�-F cue 'r U' Unit # oq�
PROPERTY OWNER INFO (All owner information is required - it Is not optional) Phone #
Last name C U ��� } First Name ��� Middle l/3�
Street Address i-Y 3 tw+ �I`'� VCdy l OL/� / 1 l_.O 1 � � S State 1. G Zip,?() 60��
CONTRACTOR INFO Company Name �� \ Contractor Phone # ��� -- Ile,
Lic Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not including basement) 110 Total Garage Sq Ft
Residential Sq Ft _ Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2"d Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 1/4 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 Simulated Performance Alternative 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) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Description of Work `�a l `U e tw
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
Applicant I hereby acknowled t I h ad this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of II ances and state laws regulating building co710(a,
truction y �'/
Applicant Signature Print Name 0 I U Jf Phone 7d'ero[
Distribution White - Office Yellow- Applicant Pink - WWW/Stormwate�e` k j ,qo i ({(HO iS
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE