HomeMy WebLinkAbout5400 Jonathan Ct - Applications/Patio Cover Or Sun Shade - 11/13/2017City of
I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.conn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE //'
/0 / 7
Job Site Address _SLOG �%D/2�l T7�// e'�4 Unit #
PROPERTY OWNER INFO: (All owner information is required — it is notoptional)Phone # / 7e9 2 /r?g�'z/
Last name %'f2D/"{2T(1/L/ First Name C'
;G$/� �/ �^ Middle r r
(((( �_�S,treet Address ,Si (qe) - J/!/{?/t7�tLdfi / � // city
/�� , C t7��/ vt S State `��Zip t- �
)CONTRACTOR INFO: Company Name (5-sA 57T'u� �h� Contractor Phone #
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
15' Floor Sq Ft
Finished Bsmt Sq Ft
Comm'I Sq
2nd Floor Sq Ft
City of Fort Collins License #
Citv
Supervisor Cert #.
State Zip
Filing # Lot # Block # Lot Sq Ft
# of Stories Bldg Height.
3`d Floor Sq Ft
Total Garage Sq Ft
# Dwelling Units
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths /z 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 #
UTILITIES INFO:
List appropriate option
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 Consl
*Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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 gulating building construction. /� c�7
Applicant Signature Ql`!2 Print Name / `� 7%A^11 TOt-1 Phone /<0
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE