HomeMy WebLinkAbout2651 Thoreau Dr - Applications/Patio Cover Or Sun Shade - 03/07/2012City of
Fort Collins
APPLICATION
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
Job Site Address 2651 Thoreau Dr
BUILDING PERMIT APPLICATION �Cyfll. (p6l\
APPLICATION
Unit #
PROPERTY OWNER INFO: (All owner Information Is required- it Is not optional) Phone #
Last name Butler First Name �eslle Middle
Street Address 2651 Thoreau Dr City Fort Collins state CO Zip 80524
CONTRACTOR INFO: Company Name TNT Contractor Phone # 970-663-2868
Lic Holder Name Tad Bjorlie City of Fort Collins License #AM _,a7Supervisor Cert #
Mailing Address 1448 Antero Drive city Loveland state CO Zip 80538
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
1s' Floor Sq Ft
Comm'I Sq
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31' Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/s Baths # of Fireplaces
Air Conditioning: Ye flNo0 Energy info: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck wBlower Door ❑ 4. Simulated Performance Altemative❑ 5. Prescriptive w/Air Sealing ❑ S. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ❑Noll Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 11,185
Description of Work:
Install new AlumaWood Pergola along back of house, —475 SF. HOA approved
Contact Name & Phone # of JOBSITE SUPERVISOR: Tad Bjodie 970-217-1530
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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 Print Name Tad Bjorlie Phone 970-663-2868
Distribution: White —Office Yellow —Applicant Pink —WWW/Stonnwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE