HomeMy WebLinkAbout7245 Fort Morgan Dr - Applications/Patio Cover Or Sun Shade - 08/10/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER V APPLICATION DATE-
Job Site Address l li __ fa7 /il' A&AN tX _ Unit #_
PROPERTY.OWNER INFO: (All owner Information Is requlred - it Is not optional) Phone
Last name First Name I Dom. Middle _
Street Address 7. ti� < . &/._innn 14G!!MAkh _ VI C _ City, )-- ��bt_k_ _ :�s�`:MS -State Le - Zip
CONTRACTOR
CONTRACTOR INFO: Company Name CW.- lzolim. Contractor Phone #
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Lic Holder Name JEFLE It- _ .. _f7bD _ __- _ - City of Fort Collins License # Z Supervisor Cert # l2r-. A%—
Mailing Address �Q�Z c�I� w. T�j i' City _ as _ _ State __�+ Zip _ 4
LEGAL INFO:
Subdivision/PUD _. __ _. 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 Ft. # of Stories Bldg Height. _ # Dwelling Units
111 Floor Sq Ft, 2ntl Floor Sq Ft _ 3b Floor'Sq Ft --__ Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/z Baths # of Fireplaces _
Air Conditioning: Yes No Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck t /Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Coffins Stock Plan # _
List appropriate option #s
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Water Tap Size Sewer Tap Size . _ Metered: Yes or No Temp. Pedestal Yes or No ( �
Type of Heat: 0 Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp E]Other
Value of Construction (including labor, material & profit) $ Co06 -
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Description of Work:. IRtiAt� Mtn 3 � ee�e� _ �15irS_-____>� Zxg �� A_G_
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
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Electrical _ Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other--.-.--.-.---- _ _ ___._ Other Other
Applicant: 1 hereby acknowledge that l have read this application and state that the above information is correct and agree to imply with all requirements
contained herein and City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature.. _ - _ Print Name Cie Phone �y9-b.000
Distribution: White - Office Yellow - Applicant Pink = WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE