HomeMy WebLinkAbout2700 Leisure Dr - Applications/Patio Cover Or Sun Shade - 11/03/2010wort` C`is
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 NUMBER 8/
V APPLICATION DATE
Job Site Address alco —3-7o r C)e Unit # `rhyi.sY
PROPERTY OWNER INFO: (All owner information is required - It'
sf optional)) Phone #
Last name 1 tl
First Name `� Middle
Street Address + City :Qn j State�ZipV��—Z-f
CONTRACTOR INFO: Compan Nam 'Contractor Phone #
Lic Holder Name City of Fort Collins License # �'�Z Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Buildin S Ft (not including basement) Total Garage Sq Ft
-r�i l
Residential Sq Ft Comm I Sq t # of Stories_ Bldg Height`� # Dwelling Units
1 st Floor Sq Ft Z�� 2nd Floor Sq Ft 3,d Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft #of Bedrooms # of Full Baths _� 3/< Baths 1/2Baths # of Fireplaces
Air Conditioning: Yes No /� }A 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 # 1p List appropriate option #s
UTILITIES INFO:
Water Tap Size /j ` ° 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) $ 4
Description of Work: A '2-1)h CA UZLtO A pm
Contact Name & Phone # of JOBSITE SUPERVISOR: tC /
Subcontractor Info:
Electrical Mechanical Plumbing
0
Framer oofing Rt Concrete l IV)4 kg I- Fireplace
Solar Other Other 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 Collins ordinances and state laws regulating building construction.
Applicant Signature (Io+L, Print Name,::�"�� �e7 Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE