HomeMy WebLinkAbout3317 SHALLOW POND DR - APPLICATIONS - 5/18/2004r
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last` First
Middle Phone
c
Street Addre Please Specify: LN. DR. CR. WY PL. ST. CT. RD. AVE.
City State Zip Code
Company Name License Number
Supervisor & Cert. #
0
Mailing Address City
State Zip Code
-Iowc
�
Phone
Q Q
FWD
Please Specify: L R CR.
WY. PL. CT. RD. AVE. Zip Code
/ST
�Subdivi
CMD
°;
Filing Number Lot Block
11-5ee // Is'
Lot Area
�Z 6 5 • F'
Building Square Footage Number of Stories
Building Height
0
L
Number of Dwelling Units Number of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. Ft.
N
Stock Plan Number/Options Radon
Energy Score/ E-Star/Ai r Sealing/Blower Door
Y/N
Tap Size Sewer Tap Size
Metered
toWater
AD
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
❑ Gas ❑ Electric
❑ 150 amp or less ❑ 200 amp ❑ other
❑ Yes ❑ No
II "t, u ing abor, material, profit) $
Description of Work: 9Z.S. S . C.—
Job Contact Name & Phone #:
Subcontractor Names:
Electrical �i�CGa�o� Mechanical «s/&i." Plumbing 4f!V7 01
Framer 4/ cc�/ U/je- t Roofing Concrete
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE