HomeMy WebLinkAbout549 Idalia Ct - Applications/Patio Cover Or Sun Shade - 03/04/2010City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Forrt Collins 281 N College Ave • Fort Collins, CO 80522 0580 Phone 970 221 6760
www fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 3 100 1 l 19 APPLICATION DATE 3 4_` O
Job Site Address 5 (401
Unit #
F A- Cto 11 y..s , , 8 7V-S ZS Q �(
PROPERTY OWNER INFO (All owner information is required - it is
not optional) Phone # 17Q - 13 Q - / $"f 2-
Last name b. SA-0 rLe- First Name Middle tQ
Street Address S �} �j 1 �y i/� 0- C cityJ;---A--- cet' 11' n S State Gfl Zip �' 2i
CONTRACTOR INFO Company Name
Lic Holder Name
Mailing
Contractor Phone #
City of Fort Collins License # Supervisor Cert #
City
State Zip.
INFO ff(EGAL
bdivision/PUD w O \5 Filing # Lot #(� Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm I Sq
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2"d Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3 d Floor Sq Ft
Unfilshed Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths Y2 Baths # of Fireplaces
Air Conditioning Yes No Energy info ( Circle appropnate 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
List appropriate option
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 I L
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical
Framer
Solar
Roofing
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 Fort olli ordin ces and state laws regulating building constructio ?
f1Applicant Signature Print Name Phone 3
Distribution White — Office Yellow —Applicant Pink — WWW/Stormwater
0
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE