HomeMy WebLinkAbout2842 Blue Leaf Dr - Applications/Patio Cover Or Sun Shade - 09/03/2008BUILDING PERMITS & INSPECTIONS DIVISION
PO Box 580 Fort Collins, CO 80522-0580 • Phone 221 6760
6_ Iy � t
'` �-� ` www fcgov com/burlding
CrtvofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER �09055 a -� APPLICATION DATE / - b O
Job Site Address 2 $ 4 a S l ,c L_ej Dr Unit #
PROPERTY OWNER INFO (All owner Information is required - it is not optional) Phone #_ 2 8 Z - ) R I I
Last Name Vilel /KIa55 First Name Middle ,D
Street Address p 4 Q_ b )'.w LP4 -br• City L1- Co kk n s State CJ Zip `SOT z 49
CONTRACTOR INFO Company Name fr 5/Iti Cr IT I `A C:, Contractor Phone # N 7a - u l oD
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Lic Holder Name f-�b-i&- Z C'. `W c , City of Fort Collins License # Sq 7 Supervisor Cert # —
Mailing Address Cdy F+ Colk State Zip k05Z\
LEGALINFO
1
Subdivision/PUD
116q G tL& 1 H_011 cw
Filing # (,
Lot # 3 7 Block # Lot Sq Ft -751
ly.
CONSTRUCTION
INFO Total Building Sq Ft (not including
basement) z Z 95
Total Garage Sq Ft 7 14
Residential Sq Ft
2 7-81 Comm I Sq Ft
# of Stories 7—
Bldg Height #Dwelling Units
1 si Floor Sq Ft
2nd Floor Sq Ft
Unfinished Bsmt
Sq Ft l I j 4 Finished Bsmt Sq Ft
/
# of Bedrooms
L
# of Full Baths
1/4 Baths
'/2 Baths # of Fireplaces
ly)
Air Conditioning
Yes No Energy info
(Circle appropriate choke)
1 ComCheck 2 ResCheck w/Air Seating
�t
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
4 E Star w/Blower Door 5 Prescriptive w/Air Sealing
List appropriate option
6 Prescriptive w/Blower Door
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 8profit) $ 7 , $ 45 n Apace,
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Description of Work 61 G Co1Je-r de4/- L 41 Gw�f!e- /'oat A pn ro v I (o y m ,
Contact Name & Phone # of JOBSITE SUPERVISOR w. �n ar S(.(y - 51 3
Subcontractor Info Electrical �_ g EII ems} c- Mechanical /V 14 Plumbing /"/
/A
Framer l o4 occr�;, Roofing G, l d K o ir , «ki , Concrete N / A- Other Al/,q
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 o _
Applicant Signature Print Name 'Iz d" Lt I� Phone 47a -VIW
Distribution White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE