HomeMy WebLinkAbout2703 Rock Creek Dr - Applications/Patio Cover Or Sun Shade - 04/16/2007City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 0
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APPLICATION DATE
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--Job Site Address;Lao 3� a).k �) Z r Unit #
--PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name First Name—<-yr�V Middle
Street Address << City ���'�/�,�� Stated Zip_
Lic. Holder
Mailing
-- LEGAL INFO:
Company Name Contractor Phone #
City of Fort Collins License # Supervisor Cert #
City
SubdivisionlPUDSt— Filing #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1S1 Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
State
Lot # Block # Lot Sq
# of Stories Bldg
Total Garage Sq Ft
# Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsm t
# of Full Baths 3/4 Baths 1/ Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option
Water Tap Size Sewer Tap Size etered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only).'—[] r h ess ❑ 200 Amp ❑ Other
alue of Construction (including labor, material & profit) $ (0 Irr) . 19 SF- '0� 3 C7/3
i
—Description of Work: lZPS/ iDPI'I5'tiyiS44.0tC Cd//ems i1WA ll-x as
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Mechanical
Plumbing
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 Phone -'Oc�
Distribution: White —Office Yellow — Applicant Pink — WWW/Stormwater
Roofing
Concrete
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE