HomeMy WebLinkAbout3221 Mesa Verde St - Applications/Patio Cover Or Sun Shade - 09/02/2009BUILDING PERMITS & INSPECTIONS DIVISION
r 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 Bog O 5:5 4 9 APPLICATION DATE '? %S - o 9
Job Site Address .32Zj MESA VIDE 5r Unit #
PROPERTY OWNER INFO: (All owner information is required - it isnotoptional) Phone # 02is - a 50
M
Last Name / 4utRE_ First Name YA/fIEL Middle JA..ME5
Street Address 3Z2MESA V,5 De ST City F-Rr State Co Zip $oS25—
CONTRACTOR INFO: Company Name DEL—loy CAMS- h4c_ Contractor Phone # 970 - ZU-0836
Lic. Holder Name /4AKK D4:i-64oy City of Fort Collins License # B l zs Supervisor Cert # ZS6
Mailing Address 3109 5- ?AF7r,*1,L /PD City r-IeT C04-W"J5 State Co zip $oSZ
LEGAL INFO:
Subdivision/PUD W061>i_A1Q2> PARK r:;�7s-rATES Filing # — Lot # $`% Block # — Lot Sq Ft /0 6 12
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ZZ3o Total Garage Sq Ft 44b
Residential Sq Ft Z73r, Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
ls' Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft / 96 Finished Bsmt Sq Ft 560
# of Bedrooms S # of Full Baths 3 3/4 Baths 'Y2 Baths I # of Fireplaces
Air Conditioning: es No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
v I
UTILITIES INFO:
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) $ 1005-6o. oo 32_!5�93
Description of Work: Go145`rOuGT GoVE!z 15Tpuc-rugr OVER Fxr57--i"eq DECK
Contact Name &Phone # of JOBSITE SUPERVISOR: B9a4`4,DoAj Dz_ms-raAD `%7o-SG6 -4347
Subcontractor Info:
Electrical 114 // aZ5C-7-R/C Mechanical Plumbing
Framer P'E�LE_H'y 6N5-% Roofing Concrete 61- find=F 6N57-0ther
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.
Applicant Signature Print Name�7R�4kr �i�ro tr Phone i7o-ZZ6-oS-36
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE