HomeMy WebLinkAbout2943 Garrett Dr - Applications/Patio Cover Or Sun Shade - 02/13/2012BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ID t:O L' l_.P 4 APPLICATION DATE
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970
Last Name (f'a1 -'e e- First Namer- fG L- Middle
Street AddressAY ��iP&Z QR- // State eD Zip
CONTRACTOR INFO: "Company Nam�,P&AIN&A% (Ia577l%Wl6ATI�>�T/�6or Phone # 9-%O �� �9/OD
Lic. Holder Name, tT lVel-D 1Dk&A11V&1V City of Fort CollinsLicense #� Supervisor Cent #
Mailing Address?b 3D X ��a/lo,7 City r-V . (./LO&1 n)S State 60 Zip ?d.5o77
LEGALINFO: // (�'i� ,
ljO Subdivision/PUD 0o� Q#11, �0JT Ping # � N� Lot #�� Block # Lot Sq Ft 47ZI5�
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq
1V Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 3/4 Baths Yz Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
Water Tap Size Sewer Tap Size
List appropriate option
Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size ((RsiResidential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ P .' t O D
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: _..7k2&5 AU2P&W 970 ,2790 70/%
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that I ha read this application and state that the above information is correct and agree to comply with all requirements
contained hereinand City of FortCollins ces and state laws regulating building construction.
Applicant Signature Print Name %// G'U l / T' Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater 9�06
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE