HomeMy WebLinkAbout1100 Robertson St - Applications/Patio Cover or Sunshade - 09/22/2008BOTLDTNG PERmrrs & INSPECTIONS DivisTON
PO Box580 • Fad Collins. CO W522-05M a Phone 2216760
www fcgov com/buddmg
BUILDING PERMIT APPLICATION
IAPPLICATION NUMBER (J /l (J S / / APPLICATION DATE
Job Site Address I /40 /��6�r
Unit #
;'/ At co((Coa .
;k; l (oa roo
PROPERTY OWNER INFO (All owner information Is required - it is not optional) Phone # %.7d
Last Name SNLLAt kie— First Name fA- Middle
Street Address City ?a!:L C2 /N', d 5 State Ca ZIP 5
Company Name
Contractor Phone
Lic Holder Name City of Fort Collins License # Supervisor Cart #
Mailing Address City State LP
A *eJ11!IF 1]
Subdivision/PUD l.1,111 Ve ✓ 54 j!/ ti(.� 4PS �J Filing # ff6V Lot #__qjQ.6 Block # --- Lot Sq Ft Di Sdy
CONSTRUCTION INFO, Total Budding Sq Ft (rot including basement) /rf Total Garag�Sq Ft a?
_#DwResiderrhal Sq Ft �� Comm I Sq Ft�_ # of Stones TILT �VLBldg Height # Dwelling Urnffi /✓
1p Floor Sq Ft 52P19 2n0 Floor Sq Ft ,_51 y Unfinished Bsmt Sq Ft Wl,+ Finished Bwd Sq Ft �s7-G� 4
# of Bedrooms 4_ # of Full Baths % Baths _ %Baths _ # of Fireplaces D�L
Air Conditioning 49 No Energy hdb Chale appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
3 ResCheck wBlower Door
City of Fort Collins Stock Plan #
4 Ear wBlower Door 5 Presonpb ve w/Air Sealing 6 Prescriptive w/Blower Door
List appropriate option
Water Tap Size Sewer Tap Size Metered & or No Temp Pedestal Yes or No
Type of Heat Gas O Electric Electric Main Breaker Size (Residential only)1150 Amp o�esa O 200 Amp O Other
Value of Construction (including labor material & profit) $ gis 0
DescapbonofWork Bet--ho_ Crve e
Contact Name & Phone # of JOBSITE SUPERVISOR
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Other
Applicant I hereby acknowledge that I have read this application and state that the above information Is correct and agree to corn* with all requirements
contained herein and City of Fort Collins ordinances and state laws regulating building construction
Applicant Signature Print Name e Phone�C�/C��oi
Distribution White—OPice Yellow —Appli ant Pink —WWWJStomiwatar
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