HomeMy WebLinkAbout3109 Zion Ct - Applications/Patio Cover Or Sun Shade - 04/27/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
WWW.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER r 5 c 9' APPLICATION DATE I
Job Site Address -3109 Z I Oty f Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 7aO -,3 V / �7799
Last Name \ I ROT 114 1 06- First Name SAr V4 Middle
Street Address 3 i a9 2- iou nC-t 1 City f'L- Ko l 1 / al S State C D Zip 6S
05
CONTRACTOR INFO: Company Name I�t�t�L-C R1'T /4MSS ontractor Phone # L170 S(o7 (079
Lic. Holder Name r1JTnnei i4FU �6N+r S City of Fort Collins License # -5t03 Supervisor Cart #
Mailing Address a66gu C-bbAV_w00rzs [)< City Ff Co(/ /ti5 State LO Zip 15�659
LEGAL INFO:
Subdivision/PUD IA 00N,l40 n PP�PJL eSTAMS Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft 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 _
# of Bedrooms # of Full Baths 3/4 Baths '/ 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:
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 Construction (including labor, material & profit) $ g31g .00
Description of Work: v--w>_ /n EdLt76LA 4G oG %�attiSC
Contact Name & Phone # of JOBSITE SUPERVISOR: 'kAj e7s 519'1 10
Subcontractor Info
Electrical L /E Mechanical N I P� /V Plumbing //-t
Framer Klt� &fl&-zT wti?5 Roofing /� Concrete I<1h1ZAP7-?kxC,5Other
Applicant: I hereby acknowledge th 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 C 'in ordinances and state laws regulating building construction. t-
Applicant Signature Print Name J�' J67 s Phone " M/7
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stnbution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE