HomeMy WebLinkAbout2044 Churchill Ct - Applications/Patio Cover Or Sun Shade - 10/17/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
WWW.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE
Job Site Address 'kij C_�� .� �., l( et , I' 4 , cr, C (,1- S: Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name a ti5� First Name ),kt v, _`"IL Middle
Street Address /L ��I 0 [ (° t, /J City f J . (c ��•l I-State��fl Zip �1dg--;.
CONTRACTOR INFO: Company Name Ar•.e ' < u, S iG.a looms (. Contractor Phone # 3 c`
Lie. Holder Name �� 2�'� �C� c j� �� City of Fort Collins License # Supervisor Cert #
Mailing Address TciLlt. k"+*., W City t!�1-(e., State-0 C Zip 87YC.7
LEGAL INFO:
, s
Subdivision/PUD /�tD5Shc � at .�:(A Filing #�_
J
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Lot # 50 Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft i +q Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft .? 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft yc523
# of Bedrooms # of Full Baths _d� '/< Baths I /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. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric
Value of Cc
Description
List appropriate option
Metered: Yes or No Temp. Pedestal: Yes or No
Electric Main Breaker Size (Residential only):,&150 Amp
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer k,�e, .14 5-;r{'j t4LdRoofing
Mechanical
Less
❑ 200 Amp ❑ Other
,
Plumbing
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 City of Fort Collins ordinya/ngpa-priddstate laws regulating building construction. J Applicant Signature ,Of c e Ora., r` Print Name �o�v / cc r v 1H r Phone 3 � - 8,9.-2;2.
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE