HomeMy WebLinkAbout4225 Starflower Dr - Applications/Patio Cover Or Sun Shade - 07/02/2010City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�t Collins 281 N College Ave Fort Collins CO 80524 Phone 970-416 2740
www fcgov com/budding
{� �/� �( I %J BUILDING PERMIT APPLICATION
APPLICATION NUMBER JJ / W `"r ! `Z ,5 APPLICATION DATE -7 - ,-;? I Q
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Job Site A
PROPERTY 0
Last name
Street Address
(All owner information is required - it is
CONTRACTOR INFO Company Name
Lic Holder Name
First
4-sC2YdS?i Unit#
rnal) Phone# % ���(�
t /j Middle
Contractor Phone
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO. ���� /1
Subdivision/PUD�/2 QAt ((' ��t�1_%� Filing # Lot #� Block # Lot Sq Ft yap
CONSTRUCTION INFO Total Budding Sq Ft t t d d a b m t) Total Garage Sq Ft
Residential Sq Ft419 Comm I Sq Ft # of Stones_ Bldg Height # Dwelling Units
Floor Sq Ft
Finished Bsmt Sq Ft
21 Floor Sq Ft
31 Floor Sq Ft Unfiished Bsmt S Ft //0 0
q
# of Bedrooms # of Full Baths /Baths /Bath L
s # of Fireplaces
Air Conditioning Ye No0 Energy into ( Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
3 ResCheck wlBlower Door11
❑4 Simulated Performance Alternative❑ 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List a Y-
ppropnate option
11111_ 1_. . •
Water Tap Size I Sewer Tap Size Metered Yes [:]No[:] Temp Pedestal Yes❑ No
Type of Heat [Gas nElectnc Electric Main Breaker Size (Resid�tiai only) 0150 Amp or Less ❑ 200 Amp Other
D� eo
Value of Construction (in ding labor material & profit)
Description of Work Q",.,
Contact Name 8 Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical
Framer t
`Solar
Roofing
Mechanical
Concrete
Plumbing
Fireplace
Other
Applicant 1 hereby ackn dge that 1 have r d this application and state that the above information is correct and agree to comply with all requirements
contained herein and C Fort Collins ordi nces an aws regulating building construction �y
Applicant Signature Print Name/e / Phone(&
Distribution White -Office Yellow -Applicant Pink -WWW/St mwater
Other
Other
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE