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HomeMy WebLinkAbout716 Maple St - Applications/Patio Cover Or Sun Shade - 10/25/2011Fort Collins 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 ` �l ` 1 D9 APPLICATION DATE I C) pc5 `l Job Site Address 7 /& Al 14TL JE-� Unit # PROPERTY OWNER INFO, (All owner information is required - it is not optional) Phone # Last name/^,c 0�1/'F / (Ai s First Name r'/N / Middle C�r Street Address .0 /4A Kt� S 17 City &AT (fti-L/ S State Cam) Zip BV 5 2 1 CONTRACTOR INFO: Company Name Contractor Phone # Lic Holder Name Mailing Address_ LEGAL INFO: Subdivision/PUD City of Fort Collins License # Supervisor Cert # City State Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm9 Sq 1s' Floor Sq Ft Finished Bsmt Sq Ft Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: 2nd Floor Sq Ft # of Stories Bldg Height 3rd Floor Sq Ft # Dwelling Units Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths '/< Baths Y Baths # of Fireplaces Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door 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) $ 5 J w n T— Description of Work: 761 Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Plumbing Framer '71Q1, Roofing T130 Concrete 01 L LA+ oy Fireplace Solar Other Mechanical Other Other Applicant: I hereby acknowled a 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 Collins ordinances d state laws regulating building construction. I - - Applicant Signature Print Named 1 M Or <<.S Phone 9 ©�� U 57 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE