HomeMy WebLinkAbout1806 Effingham St - Applications/Patio Cover Or Sun Shade - 06/12/2007BUILDING PERMITS 8t INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, CO 50522r0580 • Phone: 221-6760
www.fcgov.com/building
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City of Fort Collins BUILDING PERMIT APPLICATION 3� *13
APPLIfATION NUMBER / D 9 DV APPLICATION DATEoq
-Job Site Address /g0(o E{ I yhaM ST Unit # / `�7 /
,PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # _ /Q122lor~ 1JOt U,3
Last Name Sea q First Name /'le.r var) Middle W
Street Address 8o (0 r f-TI�ha-m Sfi City Ft, (�0 11111 `J State Co ZipF052Q (D
�OONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder�NaLne City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip_
LEGAL INFO: r f z
Subdivision/PUD 055 (�(iYO4! /Jj0 2- Filing # Lot #-Z-!!�— Block # Lot Sq Ft_
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Comm] Sq Ft
2nd Floor Sq Ft
Hof -Full Baths
Energy info:
# of Stories Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
3/ Baths '/ Baths # of Fireplaces
4. E-Star w/Blower Door 5.
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric
choice) 1. ComCheck
w/Air Sealing
List appropriate option
Metered: Yes or No
Electric Main Breaker Size
Value of Construction (including labor, material & profit)
—Description of Work: 1 X 1 f p/
eo ye "ei� O /
'lei. / jorie —lam"
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
Temp. Pedestal: Yes or No
de tial only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
/7 7-/i Be. 0i'1 `-A -
5 l A2 t' LL % 115G0 10 1'l1Gf?C
be- u.seD fo c.�ur rra -f ra s 5
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Framer Roofing Concrete DWI U 40thbr `� '
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 orrdi>nanc s and state laws regulating building construction. f ,) 7 7
7Applicant Signature 'V Print Name �i'L) 14/ - SPa Phone VO Z4 ,-t,
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE