HomeMy WebLinkAbout134 S College Ave - Applications/Patio Cover or Sunshade - 12/26/2007City of Fort Collins
APPLICATION NU
Job Site Address
3L-/ S,
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 - Phone: 221-6760
www.fcgov.conVbuilding
BUILDING PERMIT APPLICATION
APPLICATION DATE / > v —C/ z
PROPERTY OWNER INFO: (All owner information is required - it/is/n�ot _olptional) Phone # L O`y —�y2/
Last Name 1 OLVC-y First Name i " ' Clyq e ( Middle
1 I /� / /
Street Address / 3 S . co ec e. ii✓� City G� �I r`ns State Zip
CONTRACTOR INFO:
� Company Name /\� C� b 0 Contractor Phone # "q;; ?"�/
/
Lic. Holder Name / • t � c. .� o' City of Fort Collins License # "S1g Supervisor Cert #
Mailing Address 16,, L NO rx , .�. Cclul %ty � OJAState Cy Zip r
LEGALINFO: (� 1
Subdivision/PUD Gr p/ �T FL. Filing # Lot #1h Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
1 st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft --A
# of Full Baths '/< Baths /2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door
Water Tap Size Sewer Tap Size
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door 11�
List appropriate option #s 1,
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) $
Description of Work: D �1 �C> ink 5tr-�- rE 'A 0-1 e�
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical t /y /�%/ �+ ��1 Mechanical N� Plumbing r -_�
Framer 60 Roofing ] 4e (e� '-- 0 Concrete �.e 4e,- (�O Other
Applicant: I hereby acknowledge that I have read thig, application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort C 01 ordinance n state laws regulating building construction.
Applicant Signature Print Name o" ,-6 (t ei e / l/° Phonne
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE