HomeMy WebLinkAbout1124 Oak Leaf Ct - Applications/Patio Cover or Sunshade - 04/12/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 7�n / ,,4T4 / APPLICATION DATE Z/ _ /a -06-)
Job Site Address //LY Okk t04-. C- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 2.3
Last Name OfJ 4✓i ! _ First Name p�vJ U Middle
Street Address 1/Zy Qfnk 4a City �F, /(,� t State_ro_Zipt2V S L
CONTRACTOR INFO: Company Name 6'. -j Ilk R"I'le Contractor Phone # 9-0 "Sii jg' — YIL Of-
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address '2-4`13 b L-Clvw.o ^e— City r*- r jf; ,% State C4 Zip SZ �
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft,
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Full Baths 1/. Baths Y2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
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 & profit) $
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete Other
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.
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Applicant Signature J Print Name�� AO&I-1 Phone* 23�-3 912-
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
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