HomeMy WebLinkAbout5750 Round Rock Ct - Applications/Patio Cover Or Sun Shade - 04/21/2008FARM
BUILDING PERMITS & INSPECTIONS DIVISION � � r cr7b
EO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 L
www.fcgov.com/buitding
City City of Fort BUILDING PERMIT APPLICATION
APPLICATION NUMBER 0d&r;L 9J APPLICATION DATE ! ! I lv b
Job Site Address 5-750 Qai _j 04T-rC . 0,D Unit #
PROPERTY OWNER INFO: (All owner information is required - ittiisf'noott optional) Phone #
Goi-CLast Name L�Xor �/ IC, n First Name '1 =Lod Middle 's P�Ji
Street Address Si 50 &W-0 O)CLU, CityP)l,* a/ Wnc, StateC49 Zip_M53L�(
Company Name S042' Contractor Phone # SOP
Lic. Holder Name 56P City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGALINFO:
Subdivision/PUD IF6-cQ Latj, . O Y)s, Filing # oZ Lot #__L 2 Block #Lj_ Lot Sq Ft Y �
COVeLcd t 140
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ltyKLuXN Total Garage Sq Ft -E3-
Residential Sq Ft -(-7- Comm'I Sq Ft # of Stories Bldg Height 14[4*. # Dwelling Units -L.Aak$
15t Floor Sq Ft '8 2M Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft <:5.
# of Bedrooms # of Full Baths P % Baths 6�' Y Baths -9- # of Fireplaces
Air Conditioning: Yes 0
3. ResCheck wBlower Door
City of Fort Collins Stock Plan #
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door
5. Prescriptive w/Air Sealing
List appropriate option
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
UTILITIES INFO:
Water Tap Size -69- Sewer Tap Size a 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) $ rL�XJ� Oiq
Contact Name & Phone # of JOBSITE SUPERVISOR: I /10Y-)P_ grioLhe r90I- 94 -
Subcontractor Info:
Electrical 5�n� Mechanical Se �P Plumbing -';NIP
FramerRoofing —Sep t Concrete _Se1-P Other
Applicant: I hereby acknowl g 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 o ort o lins ordin nd ate laws regulating building construction.
Applicant Signature' / Print Name RUn C . is 4 l c _ Phoned(
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE