HomeMy WebLinkAbout2709 Stonehaven Dr - Applications/Patio Cover Or Sun Shade - 07/29/2013Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 �^
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBEI � APPLICATION DATE 13
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone #
Last name First NameMiddle //1
Street Address �9, 7p
0 / 97-oAlihW5N jDR, city & C�OLL-Z/US State e0l zip og; R
Ji' CONTRACTOR INFO: Company Name hM5 ;?,RFZ EA Contractor Phone #
Lic Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm] Sq
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2"d Floor Sq Ft
City of Fort Collins License #
City,
Supervisor Cert #.
State zip.
Filing # Lot # Block # Lot Sq Ft
ement) Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/4 Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Water Tap Size Sewer Tap Size
List appropriate option
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) $ 0 1 9 7�
r Description of
N T/
Contact Name & Phone # of JOBSITE SUPERVISOR: 171XA S BPE�E/e 970 G724:276'OS�1
Subcontractor Info:
Electrical
Framer Roofing
Solar Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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 Fo Collins ordinances and state laws regulating building construction.
,pApplicant Signature t> ✓— Print Name /�jyv /J %��l/LLc Phone 7 %o caa.2"��7
11 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE